STEPHANIE S MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089088

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MOORE

Business Name

STEPHANIE S MOORE

Original Issue Date

10/16/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

STREATOR

State

Zip

61364

Ever Disciplined

LastModifiedDate

10/21/2005