AMIE M DORMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338920

License Status

ACTIVE

Business

First Name

AMIE

Middle

Last Name

DORMAN

Business Name

AMIE M DORMAN

Original Issue Date

02/03/2004

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026