AMANDA MARIE EVERSGERD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

EVERSGERD

Business Name

AMANDA MARIE EVERSGERD

Original Issue Date

04/16/2019

Effective Date

09/01/2022

Expiration Date

06/30/2024

City

CASEYVILLE

State

Zip

62232

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025