PHYLLIS L MOOMEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078165

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

MOOMEY

Business Name

PHYLLIS L MOOMEY

Original Issue Date

10/12/1995

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

03/11/2021