BRENDA DAWN POWELL ALLEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

BRENDA

Middle

DAWN POWELL

Last Name

ALLEN

Business Name

BRENDA DAWN POWELL ALLEN

Original Issue Date

07/26/2001

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

PLYMOUTH

State

Zip

62367

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/20/2020