JESSICA L MOODY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

JESSICA

Middle

Last Name

MOODY

Business Name

JESSICA L MOODY

Original Issue Date

05/11/2023

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2025