MUTIATU M MOIBI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

MUTIATU

Middle

Last Name

MOIBI

Business Name

MUTIATU M MOIBI

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

05/31/2026

City

ANNA

State

Zip

62906

County

UNION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026