AMANDA LIVELY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INOPERATIVE

Business

First Name

AMANDA

Last Name

LIVELY

Business Name

AMANDA LIVELY

Original Issue Date

02/05/2019

Effective Date

02/05/2019

Expiration Date

09/30/2020

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2020