SAMUEL KIPP MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351610

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

KIPP

Last Name

MOORE

Business Name

SAMUEL KIPP MOORE

Original Issue Date

03/15/2006

Effective Date

03/15/2006

Expiration Date

05/31/2008

City

SOUTH BEND

State

Zip

46628

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008