AMY B MOSS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084558

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

MOSS

Business Name

AMY B MOSS

Original Issue Date

01/14/2000

Effective Date

11/01/2004

Expiration Date

01/31/2007

City

SHILOH

State

Zip

62221

Ever Disciplined

LastModifiedDate

11/03/2006