AMANDA SUE MAGERL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

AMANDA

Middle

SUE

Last Name

MAGERL

Business Name

AMANDA SUE MAGERL

Original Issue Date

09/23/2019

Effective Date

04/23/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2020