AMANDA JEAN MERSMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JEAN

Last Name

MERSMAN

Business Name

AMANDA JEAN MERSMAN

Original Issue Date

02/04/2021

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026