BRANDON L KENTOPP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

KENTOPP

Business Name

BRANDON L KENTOPP

Original Issue Date

12/18/2020

Effective Date

12/18/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022