AMANDA JEAN BUCKNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JEAN

Last Name

BUCKNER

Business Name

AMANDA JEAN BUCKNER

Original Issue Date

10/05/2021

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026