LAURA J AMIDON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

AMIDON

Business Name

LAURA J AMIDON

Original Issue Date

05/25/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/19/2018