MANDIE E BAGWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277005185

License Status

ACTIVE

Business

First Name

MANDIE

Middle

Last Name

BAGWELL

Business Name

MANDIE E BAGWELL

Original Issue Date

01/29/2026

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/04/2026