MANDIE E BAGWELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INACTIVE

Business

First Name

MANDIE

Middle

Last Name

BAGWELL

Business Name

MANDIE E BAGWELL

Original Issue Date

08/04/2009

Effective Date

10/10/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/07/2026