BRANDI MAE HEINECKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

MAE

Last Name

HEINECKE

Business Name

BRANDI MAE HEINECKE

Original Issue Date

11/07/2022

Effective Date

11/07/2022

Expiration Date

06/30/2024

City

WARSAW

State

Zip

62379

County

HANCOCK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025