AMANDA C WACKT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011734

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

WACKT

Business Name

AMANDA C WACKT

Original Issue Date

08/21/2014

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/11/2026