MACKENZIE D LEMONS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

Last Name

LEMONS

Business Name

MACKENZIE D LEMONS

Original Issue Date

08/28/2024

Effective Date

08/28/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026