EDSEL LAMONT MOORE JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109150

License Status

NOT RENEWED

Business

First Name

EDSEL

Middle

LAMONT

Last Name

MOORE

Suffix

Business Name

EDSEL LAMONT MOORE JR

Original Issue Date

10/15/2009

Effective Date

01/31/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019