TIMOTHY A MOORE - Registered Nurse License in Illinois | # 043083755

TIMOTHY A MOORE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083755

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

A

Last Name

MOORE

Business Name

TIMOTHY A MOORE

Original Issue Date

06/10/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005