AMANDA L REYNOLDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

REYNOLDS

Business Name

AMANDA L REYNOLDS

Original Issue Date

07/08/2015

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026