AMANDA C ZUMBAHLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

ZUMBAHLEN

Business Name

AMANDA C ZUMBAHLEN

Original Issue Date

08/12/2015

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026