MARIAH MOFFIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

MARIAH

Last Name

MOFFIS

Business Name

MARIAH MOFFIS

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026