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Licensed Professional Information:
Registered Nurse 4704350720

Licensee Detail

License Type:

Registered Nurse

License Number:

4704350720

Name:

Angela Evon Moore

License Issue Date:

01/23/2019

License Expiration Date:

01/23/2028

License Status:

Active

County:

Ingham

NURSE SPECIALTY CERTIFICATION

Specialty Certification:

Nurse Practitioner

Status:

Active

Issue Date:

08/27/2024

Expiration Date:

01/23/2028

Related Records

Listed below are the records associated with

Registered Nurse,

License Number:

4704350720

Record list

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Date

Record Number

Record Type

01/23/2019

4704350720

Registered Nurse License

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