AMANDA M DECIMO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007301

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

DECIMO

Business Name

AMANDA M DECIMO

Original Issue Date

10/09/2008

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2020