ANDREW J MOODY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005597

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

MOODY

Business Name

ANDREW J MOODY

Original Issue Date

07/08/2005

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026