DONNA J BRENENSTALL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

BRENENSTALL

Business Name

DONNA J BRENENSTALL

Original Issue Date

09/19/2001

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018