ADDICHTRA SHADARLY MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342720

License Status

NOT RENEWED

Business

First Name

ADDICHTRA

Middle

SHADARLY

Last Name

MOORE

Business Name

ADDICHTRA SHADARLY MOORE

Original Issue Date

09/15/2004

Effective Date

06/02/2008

Expiration Date

05/31/2010

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/16/2010