CARLOS X MORENO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

CARLOS

Middle

Last Name

MORENO

Business Name

CARLOS X MORENO

Original Issue Date

09/13/2011

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026