ANDREA LYNNE MOULDON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008361

License Status

ACTIVE

Business

First Name

ANDREA

Middle

LYNNE

Last Name

MOULDON

Business Name

ANDREA LYNNE MOULDON

Original Issue Date

09/17/2010

Effective Date

09/24/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026