MICAH D MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113025

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

Last Name

MOORE

Business Name

MICAH D MOORE

Original Issue Date

08/17/2011

Effective Date

08/17/2011

Expiration Date

01/31/2013

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/20/2013