ETHAN MATTHEW MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043131206

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

MATTHEW

Last Name

MOORE

Business Name

ETHAN MATTHEW MOORE

Original Issue Date

11/01/2021

Effective Date

02/01/2023

Expiration Date

02/28/2025

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/08/2025