AMANDA ACOSTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

AMANDA

Last Name

ACOSTA

Business Name

AMANDA ACOSTA

Original Issue Date

10/28/2024

Effective Date

10/28/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026