MANDY NICOLE HEATON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

NICOLE

Last Name

HEATON

Business Name

MANDY NICOLE HEATON

Original Issue Date

10/25/2018

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

LISLE

State

Zip

60532

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022