AMBER D WILLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

AMBER

Middle

Last Name

WILLIS

Business Name

AMBER D WILLIS

Original Issue Date

07/25/2017

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

OPDYKE

State

Zip

62872

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026