TIANA C MORELAND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

TIANA

Middle

Last Name

MORELAND

Business Name

TIANA C MORELAND

Original Issue Date

11/15/2016

Effective Date

06/11/2022

Expiration Date

06/30/2024

City

LISLE

State

Zip

60532

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025