TIMOTHY A MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083755

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

MOORE

Business Name

TIMOTHY A MOORE

Original Issue Date

06/10/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/15/2005