MICHAEL RYAN MANDRELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015693

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

RYAN

Last Name

MANDRELL

Business Name

MICHAEL RYAN MANDRELL

Original Issue Date

03/01/2017

Effective Date

03/30/2020

Expiration Date

05/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/30/2020