AMANDA LORIN TAYLOR HAWKINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INACTIVE

Business

First Name

AMANDA

Middle

LORIN TAYLOR

Last Name

HAWKINS

Business Name

AMANDA LORIN TAYLOR HAWKINS

Original Issue Date

08/08/2022

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

RED BUD

State

Zip

62278

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2025