ANGELA RUTH BRANDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

RUTH

Last Name

BRANDON

Business Name

ANGELA RUTH BRANDON

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

BREESE

State

Zip

62230

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021