AMANDA M BUSTLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014881

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BUSTLE

Business Name

AMANDA M BUSTLE

Original Issue Date

09/19/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021