AMY NOEL VAHRENWALD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NOEL

Last Name

VAHRENWALD

Business Name

AMY NOEL VAHRENWALD

Original Issue Date

08/15/2008

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021