MANDIE E BAGWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****58

License Status

ACTIVE

Business

First Name

MANDIE

Middle

Last Name

BAGWELL

Business Name

MANDIE E BAGWELL

Original Issue Date

01/29/2026

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/03/2026