AMANDA G VANDER WAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

VANDER WAL

Business Name

AMANDA G VANDER WAL

Original Issue Date

10/03/2012

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026