PAMELA MICHELLE MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

PAMELA

Middle

MICHELLE

Last Name

MOORE

Business Name

PAMELA MICHELLE MOORE

Original Issue Date

02/14/2013

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026