CHARLENE BETH MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

CHARLENE

Middle

BETH

Last Name

MOORE

Business Name

CHARLENE BETH MOORE

Original Issue Date

11/26/2018

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

PARIS

State

Zip

61944

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026