BRANDY ANN CHISHOLM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

BRANDY

Middle

ANN

Last Name

CHISHOLM

Business Name

BRANDY ANN CHISHOLM

Original Issue Date

03/27/2019

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

BETTENDORF

State

Zip

52722

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026