SAMUEL MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041495180

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

MOORE

Business Name

SAMUEL MOORE

Original Issue Date

05/26/2020

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

LAFAYETTE

State

Zip

37083

Ever Disciplined

LastModifiedDate

10/14/2022