SHIRLEY J MOORE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

MOORE

Business Name

SHIRLEY J MOORE

Original Issue Date

08/01/2001

Effective Date

06/21/2022

Expiration Date

06/30/2024

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025