KRISTIN ANN MOONEYHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

ANN

Last Name

MOONEYHAM

Business Name

KRISTIN ANN MOONEYHAM

Original Issue Date

05/26/2023

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

PARIS

State

Zip

61944

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026