JANET L BROOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

JANET

Middle

Last Name

BROOM

Business Name

JANET L BROOM

Original Issue Date

01/07/2011

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SALEM

State

Zip

62881

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026