AMANDA L HIESTAND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

HIESTAND

Business Name

AMANDA L HIESTAND

Original Issue Date

05/29/2019

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

BROOKFIELD

State

Zip

60513

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025