BRENDA M EDEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

EDEN

Business Name

BRENDA M EDEN

Original Issue Date

05/08/2009

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021