MIRANDA J MOGLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

Last Name

MOGLE

Business Name

MIRANDA J MOGLE

BusinessDBA

MIRANDA JOY BROWNING

Original Issue Date

04/07/2025

Effective Date

04/07/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026