AMANDA JAYNE BERTHOLOMEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022637

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JAYNE

Last Name

BERTHOLOMEY

Business Name

AMANDA JAYNE BERTHOLOMEY

Original Issue Date

01/06/2021

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

ROBERTSVILLE

State

Zip

63072

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026