TERESA L MOULDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070774

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

MOULDER

Business Name

TERESA L MOULDER

Original Issue Date

01/16/1992

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/15/2005