DOUG M MOSSMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079980

License Status

NOT RENEWED

Business

First Name

DOUG

Middle

Last Name

MOSSMAN

Business Name

DOUG M MOSSMAN

Original Issue Date

10/29/1996

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

KANKAKEE

State

Zip

60901

Ever Disciplined

LastModifiedDate

10/15/2005