JENNIFER MARGARITA MENDALUK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MARGARITA

Last Name

MENDALUK

Business Name

JENNIFER MARGARITA MENDALUK

Original Issue Date

11/21/2019

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026