ERIN ETHERIDGE-BAGLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

ERIN

Last Name

ETHERIDGE-BAGLEY

Business Name

ERIN ETHERIDGE-BAGLEY

Original Issue Date

12/03/2024

Effective Date

12/03/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026