PAIGE A BRENNAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

PAIGE

Middle

Last Name

BRENNAN

Business Name

PAIGE A BRENNAN

Original Issue Date

12/11/2020

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2025