AMANDA M PENTICOFF Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043130820

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

PENTICOFF

Business Name

AMANDA M PENTICOFF

Original Issue Date

08/26/2021

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

ROCK FALLS

State

Zip

61071

Ever Disciplined

LastModifiedDate

01/02/2025