KELLI L MOODY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065166

License Status

NOT RENEWED

Business

First Name

KELLI L

Last Name

MOODY

Business Name

KELLI L MOODY

Original Issue Date

12/15/1987

Effective Date

09/26/2003

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2002000198

Action

Suspension

Discipline Start Date

09/26/2003

Discipline Reason

Failed to file and/or pay Illinois income taxes.