PATRICIA BRANDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

BRANDON

Business Name

PATRICIA BRANDON

Original Issue Date

04/01/2002

Effective Date

04/25/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021