SANDRA L MARTELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

SANDRA

Middle

Last Name

MARTELL

Business Name

SANDRA L MARTELL

Original Issue Date

12/15/2010

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026