AMANDA MARY DISCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

INACTIVE

Business

First Name

AMANDA

Middle

MARY

Last Name

DISCH

Business Name

AMANDA MARY DISCH

Original Issue Date

05/15/2021

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2024