AMANDA CATHLEEN SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

AMANDA

Middle

CATHLEEN

Last Name

SMITH

Business Name

AMANDA CATHLEEN SMITH

Original Issue Date

09/18/2017

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026