NICOLE M MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

MOORE

Business Name

NICOLE M MOORE

Original Issue Date

08/17/2022

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026