MICHAEL RYAN MANDRELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001453

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RYAN

Last Name

MANDRELL

Business Name

MICHAEL RYAN MANDRELL

Original Issue Date

07/01/2021

Effective Date

03/27/2026

Expiration Date

05/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/27/2026