AMY UNDERWOOD FALLINGS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

AMY

Middle

UNDERWOOD

Last Name

FALLINGS

Business Name

AMY UNDERWOOD FALLINGS

Original Issue Date

10/15/2019

Effective Date

08/29/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025