RACHEL N MORENO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

MORENO

Business Name

RACHEL N MORENO

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021