AMANDA M BUSTLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402587

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BUSTLE

Business Name

AMANDA M BUSTLE

Original Issue Date

07/16/2012

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021