AMANDA MARIE MELVIN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INOPERATIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

MELVIN

Business Name

AMANDA MARIE MELVIN

Original Issue Date

08/03/2021

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2024