AMANDA MADDOX 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

Last Name

MADDOX

Business Name

AMANDA MADDOX

Original Issue Date

10/08/2022

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026