JAIME MENDOZA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****10

License Status

ACTIVE

Business

First Name

JAIME

Last Name

MENDOZA

Business Name

JAIME MENDOZA

Original Issue Date

06/26/2021

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026