AMANDA M WILDERMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020318

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

WILDERMAN

Business Name

AMANDA M WILDERMAN

Original Issue Date

10/28/2019

Effective Date

07/22/2022

Expiration Date

05/31/2024

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/22/2022