AMY SURDAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033509

License Status

INACTIVE

Business

First Name

AMY

Last Name

SURDAM

Business Name

AMY SURDAM

Original Issue Date

10/12/2025

Effective Date

10/12/2025

Expiration Date

05/31/2026

City

CHEYENNE

State

Zip

82009

Ever Disciplined

LastModifiedDate

10/12/2025