AMANDA A BLUM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041580624

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

BLUM

Business Name

AMANDA A BLUM

Original Issue Date

01/29/2025

Effective Date

01/29/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2026