SAMUEL KIPP MOORE - Registered Nurse License in Indiana | # 041351610

SAMUEL KIPP MOORE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351610

License Status

NOT RENEWED

Business

N

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

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2008