AMANDA PEACOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

PEACOCK

Business Name

AMANDA PEACOCK

Original Issue Date

02/21/2020

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022