DANIEL F MOFFETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079158

License Status

NOT RENEWED

Business

First Name

DANIEL F

Last Name

MOFFETT

Business Name

DANIEL F MOFFETT

Original Issue Date

04/18/1996

Effective Date

11/19/2010

Expiration Date

01/31/2013

City

BLOOMIMNGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2011007713

Action

Suspension

Discipline Start Date

12/20/2012

Discipline Reason

for having violated the terms of a Care, Counseling and Treatment Agreement.