KYLE A BREWER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

BREWER

Business Name

KYLE A BREWER

Original Issue Date

08/14/2024

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026