THERESA A MOODY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079891

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

MOODY

Business Name

THERESA A MOODY

Original Issue Date

10/29/1996

Effective Date

01/15/2003

Expiration Date

01/31/2003

City

HANOVER

State

Zip

47243

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005