License holder summary

Nicole Suzette Moore is a Nursing Board - Csr Prescriptive Authority licensed to practice in Indiana. The address on file for Nicole Suzette Moore is OLIVER HEADACHE & PAIN CLINIC, 2828 MT VERNON AVE, EVANSVILLE IN 47712. This nurse license is not current. The license was granted 08/03/1999 and expired on 10/31/2001.

Indiana

State Board of Nursing

Nicole Suzette Moore
Nursing Board - Csr Prescriptive Authority
License number
71000694B
Date granted
08/03/1999
Date expires
10/31/2001
Class
Nursing Board - Csr Prescriptive Authority
Status
Expired
Address
OLIVER HEADACHE & PAIN CLINIC, 2828 MT VERNON AVE, EVANSVILLE IN 47712
nursingindiana.org
ID 6430812
LAST UPDATED 2024-04-08 13:17:51 UTC

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