BRENDA LEE SEIDEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

LEE

Last Name

SEIDEL

Business Name

BRENDA LEE SEIDEL

Original Issue Date

07/18/2022

Effective Date

07/18/2022

Expiration Date

06/30/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025