AMANDA MICHELLE MAVIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016157

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

MAVIS

Business Name

AMANDA MICHELLE MAVIS

Original Issue Date

07/10/2017

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026