AMANDA S ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

ANDERSON

Business Name

AMANDA S ANDERSON

Original Issue Date

08/11/2015

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026