CARLY J MOLTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

CARLY

Middle

Last Name

MOLTER

Business Name

CARLY J MOLTER

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

05/31/2026

City

WINNEBAGO

State

Zip

61088

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026