BRENTON M WAYSTOUT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000051

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

WAYSTOUT

Business Name

BRENTON M WAYSTOUT

Original Issue Date

09/07/2019

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

LACON

State

Zip

61540

Ever Disciplined

LastModifiedDate

02/05/2025