AMY E FAVIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030615

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

FAVIA

Business Name

AMY E FAVIA

Original Issue Date

09/19/2024

Effective Date

09/19/2024

Expiration Date

05/31/2026

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

03/02/2026