CRYSTAL M BRADLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

BRADLEY

Business Name

CRYSTAL M BRADLEY

BusinessDBA

HAARMANN

Original Issue Date

11/19/2020

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/02/2024