License holder summary

Formiller, Amanda Dea is a Registered Nurse licensed to practice in Wisconsin. This nurse license is current. The license was granted 03/12/1998 and expired on 02/28/2014.

Wisconsin

Department of Safety and Professional Services

Formiller, Amanda Dea
Registered Nurse
License number
128932-30
Date granted
03/12/1998
Date expires
02/28/2014
Class
Registered Nurse
Status
Active
nursingwisconsin.org
ID 12940627
LAST UPDATED 2024-12-26 10:14:25 UTC

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