AMANDA J KONCZAK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041430852

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

KONCZAK

Business Name

AMANDA J KONCZAK

Original Issue Date

06/24/2015

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

03/01/2026