MARY MOELLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023389

License Status

INACTIVE

Business

First Name

MARY

Last Name

MOELLER

Business Name

MARY MOELLER

BusinessDBA

MARY JOLECE SPROUT

Original Issue Date

06/17/2021

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

BALLWIN

State

Zip

63011

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

04/30/2024