AMANDA J PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

PETERSON

Business Name

AMANDA J PETERSON

Original Issue Date

09/24/2021

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026