AMANDA M WILDERMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****63

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

WILDERMAN

Business Name

AMANDA M WILDERMAN

Original Issue Date

01/22/2024

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/02/2026