OR License Verification http:/osbn. oregon. gov/OSBN Verification/Details.aspxperson=babf7?... | of 1 Oregon State Board of Nursing Verification of Licensure SUBJECT TO TERMS AND CONDITIONS Information current as of: 03/10/2015 ‘Quory Time: 31072015 2:44:39 PM ‘Retum to Searen Print This site is a primary source for verification credentials. Licensee: Mendez, Amy Kathleen Gender: Female LCENSES conse Number Type __Licenselssued Current Status Dato Last Renewed _—_License Expiration Date APPLICANT CNA 11202012 Expired 12072012 201403807CNA CNA 06/26/2014 Active 07/08/2015 Click here for explanation of Licens naz Type ‘Schoo! reduation Date CNA2 Southwestern Oregon Community College 06/27/2014 CNA2 Southwestern Oregon Community College 06/27/2014 BOARD ORDERS. No disciplinary actions on record. Ck here for explanation of Discipinary Actons ‘Show License Abbreviation Key An asterisk (>) fer the Active satus indicates that a ic=nsee has applied for renewal on time but OSBN has not yet completly processed the rengwal application. Call the OSEN at 971-573-0685 for foensure information, OSBN Disepline-Copis of publi doctmensasocsted with OSBN disciplinary actions taken against specific licensee afer August 2010 ae availble nine. Copies of disciplinary sions prio to that date may te obtained by writen request. You may e-mail you equst 9 a css atte Or you ‘may FAX your request addressed to Rebecca Nyberg 10 971-673-068, Please include te license’ name ad lisse number (i avalable) alone ith oes ‘ume, company (i plicable), malin ares, phone uber and FAX number or -aadrese 3/1072015 2:48 PM.