SAMANTHA A MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

MOORE

Business Name

SAMANTHA A MOORE

Original Issue Date

09/22/2025

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026