LYNDSAY O MENTGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

LYNDSAY

Middle

Last Name

MENTGEN

Business Name

LYNDSAY O MENTGEN

Original Issue Date

03/13/2014

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026