CAMILLE K MOSES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

Last Name

MOSES

Business Name

CAMILLE K MOSES

Original Issue Date

02/25/2020

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026