ASHLEY NICOLE BRANDT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

BRANDT

Business Name

ASHLEY NICOLE BRANDT

Original Issue Date

08/02/2016

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026