MACKENZIE A MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041370812

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

Last Name

MOORE

Business Name

MACKENZIE A MOORE

Original Issue Date

08/13/2008

Effective Date

05/12/2010

Expiration Date

05/31/2012

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012