TAMELA ANN MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020399

License Status

ACTIVE

Business

First Name

TAMELA

Middle

ANN

Last Name

MOORE

Business Name

TAMELA ANN MOORE

Original Issue Date

11/05/2019

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

03/21/2026