KELLY L BRENDEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BRENDEL

Business Name

KELLY L BRENDEL

Original Issue Date

07/20/2015

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

BYRON

State

Zip

61010

County

OGLE

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2021