AMANDA MICHELLE MAVIS - Advanced Practice Nurse License in Illinois | # 209016157

AMANDA MICHELLE MAVIS

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016157

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

MICHELLE

Last Name

MAVIS

Business Name

AMANDA MICHELLE MAVIS

Original Issue Date

07/10/2017

Effective Date

04/07/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2026