ELLEN EDITH MOUSER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

ELLEN EDITH

Last Name

MOUSER

Business Name

ELLEN EDITH MOUSER

Original Issue Date

03/05/2014

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026