MANDY J BARLOW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

MANDY

Middle

Last Name

BARLOW

Business Name

MANDY J BARLOW

Original Issue Date

11/21/2014

Effective Date

04/13/2024

Expiration Date

05/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026