AMY AMARATHITHADA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

AMARATHITHADA

Business Name

AMY AMARATHITHADA

Original Issue Date

01/16/2019

Effective Date

01/16/2019

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021