PENNY S MOATS - Registered Nurse License in Illinois | # 043055971

PENNY S MOATS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055971

License Status

NOT RENEWED

Business

N

First Name

PENNY S

Last Name

MOATS

Business Name

PENNY S MOATS

Original Issue Date

02/23/1983

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005