BRENTLY TODD MADARIS - Advanced Practice Nurse License in Illinois | # 209033222

BRENTLY TODD MADARIS

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033222

License Status

INACTIVE

Business

N

First Name

BRENTLY

Middle

TODD

Last Name

MADARIS

Business Name

BRENTLY TODD MADARIS

Original Issue Date

09/12/2025

Effective Date

09/12/2025

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2026