KELLY DENISE MORAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083563

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

DENISE

Last Name

MORAN

Business Name

KELLY DENISE MORAN

Original Issue Date

03/22/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005