MARY BRANDENBURG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

MARY

Last Name

BRANDENBURG

Business Name

MARY BRANDENBURG

Original Issue Date

02/02/2021

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026