AMANDA JO CAVAZOS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

CAVAZOS

Business Name

AMANDA JO CAVAZOS

Original Issue Date

12/27/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/05/2026