AMANDA S ANDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ANDERSON

Business Name

AMANDA S ANDERSON

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021