JAIME MENDOZA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

JAIME

Last Name

MENDOZA

Business Name

JAIME MENDOZA

Original Issue Date

04/24/2013

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

06/10/2020