AMANDA LIVELY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018393

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

LIVELY

Business Name

AMANDA LIVELY

Original Issue Date

10/18/2018

Effective Date

10/18/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021