JORDAN K MANDEVILLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028150

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

MANDEVILLE

Business Name

JORDAN K MANDEVILLE

Original Issue Date

08/23/2023

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026