AMANDA L HALVORSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

HALVORSON

Business Name

AMANDA L HALVORSON

Original Issue Date

04/16/2018

Effective Date

05/25/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/25/2022