THOMAS S MAGERL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

MAGERL

Business Name

THOMAS S MAGERL

Original Issue Date

04/21/2017

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026