HEATHER R MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089809

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

MOORE

Business Name

HEATHER R MOORE

Original Issue Date

05/24/2004

Effective Date

01/08/2009

Expiration Date

01/31/2011

City

EAGLE MOUNTAIN

State

Zip

84005

County

UTAH

Ever Disciplined

LastModifiedDate

03/10/2011