AMANDA PEACOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

PEACOCK

Business Name

AMANDA PEACOCK

Original Issue Date

05/26/2023

Effective Date

05/26/2023

Expiration Date

06/30/2024

City

ELMHURST

State

Zip

60126

County

PENNSYLVANIA

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2025