MANDIE E BAGWELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007566

License Status

INACTIVE

Business

First Name

MANDIE

Middle

Last Name

BAGWELL

Business Name

MANDIE E BAGWELL

Original Issue Date

04/28/2009

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/29/2026