MANDY ELIZABETH BETTENHAUSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

MANDY

Middle

ELIZABETH

Last Name

BETTENHAUSEN

Business Name

MANDY ELIZABETH BETTENHAUSEN

Original Issue Date

12/08/2021

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026