DECELLE JEWEL MANUEL ENRIQUEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021466

License Status

ACTIVE

Business

First Name

DECELLE

Middle

JEWEL MANUEL

Last Name

ENRIQUEZ

Business Name

DECELLE JEWEL MANUEL ENRIQUEZ

Original Issue Date

06/22/2020

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

JANESVILLE

State

Zip

53546

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/02/2026