AMANDA M WILDERMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****62

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WILDERMAN

Business Name

AMANDA M WILDERMAN

Original Issue Date

01/22/2024

Effective Date

01/22/2024

Expiration Date

06/30/2024

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/05/2025