AMANDA C WACKT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

WACKT

Business Name

AMANDA C WACKT

Original Issue Date

10/28/2014

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

WOODFORD

Ever Disciplined

LastModifiedDate

02/11/2026