LESLIE A MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084992

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

MOSS

Business Name

LESLIE A MOSS

Original Issue Date

06/08/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MONEE

State

Zip

60449

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2005