BRENTON M WAYSTOUT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011651

License Status

INACTIVE

Business

First Name

BRENTON

Middle

Last Name

WAYSTOUT

Business Name

BRENTON M WAYSTOUT

Original Issue Date

07/15/2014

Effective Date

05/13/2018

Expiration Date

09/30/2020

City

LACON

State

Zip

61540

Ever Disciplined

LastModifiedDate

05/13/2018