KANDISE R MOONEYHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028373

License Status

ACTIVE

Business

First Name

KANDISE

Middle

Last Name

MOONEYHAM

Business Name

KANDISE R MOONEYHAM

Original Issue Date

10/03/2023

Effective Date

06/26/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/02/2026