BRENDA DAWN POWELL ALLEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002519

License Status

INACTIVE

Business

First Name

BRENDA

Middle

DAWN POWELL

Last Name

ALLEN

Business Name

BRENDA DAWN POWELL ALLEN

Original Issue Date

07/06/2001

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

PLYMOUTH

State

Zip

62367

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/20/2020