DEANNA R MOORMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

DEANNA

Middle

Last Name

MOORMAN

Business Name

DEANNA R MOORMAN

Original Issue Date

10/07/2014

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026