JAIME MENDOZA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010309

License Status

INACTIVE

Business

First Name

JAIME

Last Name

MENDOZA

Business Name

JAIME MENDOZA

Original Issue Date

03/12/2013

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

06/10/2020