TARA L MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

MOORE

Business Name

TARA L MOORE

Original Issue Date

08/29/2018

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026