NATHANIEL MORENO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

NATHANIEL

Last Name

MORENO

Business Name

NATHANIEL MORENO

Original Issue Date

08/13/2024

Effective Date

03/08/2026

Expiration Date

05/31/2028

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2026