AMANDA L GROSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024570

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

GROSS

Business Name

AMANDA L GROSS

Original Issue Date

12/16/2021

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

LACON

State

Zip

61540

Ever Disciplined

LastModifiedDate

03/02/2026