JOAN M MOMMER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

JOAN M

Last Name

MOMMER

Business Name

JOAN M MOMMER

Original Issue Date

07/25/2001

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026