CAROLYN J MOOMAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056040

License Status

NOT RENEWED

Business

First Name

CAROLYN J

Last Name

MOOMAW

Business Name

CAROLYN J MOOMAW

Original Issue Date

02/23/1983

Effective Date

12/29/2008

Expiration Date

01/31/2011

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/10/2011