AMANDA S DALASKA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

DALASKA

Business Name

AMANDA S DALASKA

Original Issue Date

05/16/2023

Effective Date

08/25/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2025