AMANDA KOSTIC Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

AMANDA

Last Name

KOSTIC

Business Name

AMANDA KOSTIC

Original Issue Date

02/09/2022

Effective Date

08/16/2024

Expiration Date

05/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026