AMANDA E HEIMDAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

HEIMDAL

Business Name

AMANDA E HEIMDAL

Original Issue Date

10/29/2024

Effective Date

10/29/2024

Expiration Date

05/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026