AMANDA R COUNTRYMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088357

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

COUNTRYMAN

Business Name

AMANDA R COUNTRYMAN

Original Issue Date

03/12/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005