JILLIAN KELCIE MOODY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028769

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

KELCIE

Last Name

MOODY

Business Name

JILLIAN KELCIE MOODY

Original Issue Date

11/12/2023

Effective Date

11/12/2023

Expiration Date

06/30/2024

City

NEW YORK

State

Zip

10003

Ever Disciplined

LastModifiedDate

02/05/2025