AMANDA N LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119144

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LANE

Business Name

AMANDA N LANE

Original Issue Date

08/05/2014

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

03/28/2019