AMANDA L ROMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

ROMAN

Business Name

AMANDA L ROMAN

Original Issue Date

01/30/2015

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2026