AMBER MARIAN BREITZMAN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INOPERATIVE

Business

First Name

AMBER

Middle

MARIAN

Last Name

BREITZMAN

Business Name

AMBER MARIAN BREITZMAN

Original Issue Date

08/17/2017

Effective Date

06/17/2022

Expiration Date

05/31/2024

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

03/03/2024