GRETCHEN LEE MAHANEY CALDWELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

GRETCHEN

Middle

LEE

Last Name

MAHANEY CALDWELL

Business Name

GRETCHEN LEE MAHANEY CALDWELL

Original Issue Date

01/20/2010

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2024