AMANDA M CLOUSER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

CLOUSER

Business Name

AMANDA M CLOUSER

Original Issue Date

08/07/2019

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026