LEATHA LYNN MOELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053317

License Status

NOT RENEWED

Business

First Name

LEATHA LYNN

Last Name

MOELLER

Business Name

LEATHA LYNN MOELLER

Original Issue Date

01/13/1982

Expiration Date

01/31/1989

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005