AMANDA S PUMILIA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014962

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

PUMILIA

Business Name

AMANDA S PUMILIA

Original Issue Date

10/12/2016

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

DAVIS JUNCTION

State

Zip

61020

County

OGLE

Ever Disciplined

LastModifiedDate

01/14/2021