MICHAEL RYAN MANDRELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****19

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RYAN

Last Name

MANDRELL

Business Name

MICHAEL RYAN MANDRELL

Original Issue Date

07/01/2021

Effective Date

03/27/2026

Expiration Date

05/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/27/2026