JESSICA L MANDRELL 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

JESSICA

Middle

Last Name

MANDRELL

Business Name

JESSICA L MANDRELL

Original Issue Date

02/23/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

DEWEY

State

Zip

61840

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026