STEPHANIE C MOULTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MOULTON

Business Name

STEPHANIE C MOULTON

Original Issue Date

09/03/2025

Effective Date

09/03/2025

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026