MARY AMANDA DELORIS PITTMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****94

License Status

ACTIVE

Business

First Name

MARY AMANDA

Middle

DELORIS

Last Name

PITTMAN

Business Name

MARY AMANDA DELORIS PITTMAN

Original Issue Date

08/19/2022

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

EDWARDSVILLE

State

Zip

62026

County

MADISON

Ever Disciplined

LastModifiedDate

03/13/2026