AMANDA M WILDERMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002347

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

WILDERMAN

Business Name

AMANDA M WILDERMAN

Original Issue Date

11/17/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/02/2026