TRACY LYNNE MOORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

TRACY

Middle

LYNNE

Last Name

MOORE

Business Name

TRACY LYNNE MOORE

Original Issue Date

05/21/2024

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026