NICOLE R MOSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023775

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

MOSS

Business Name

NICOLE R MOSS

Original Issue Date

08/10/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026