RANDALL D MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005595

License Status

ACTIVE

Business

First Name

RANDALL

Middle

Last Name

MOORE

Business Name

RANDALL D MOORE

Original Issue Date

06/29/2005

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

PARK RIDGE

State

Zip

60068

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2026