BRENTON M WAYSTOUT - Advanced Practice Nurse License in Illinois | # 277000051

BRENTON M WAYSTOUT

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000051

License Status

NOT RENEWED

Business

N

First Name

BRENTON

Middle

M

Last Name

WAYSTOUT

Business Name

BRENTON M WAYSTOUT

Original Issue Date

09/07/2019

Effective Date

05/17/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025