MELINDA BRANDES HENDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

BRANDES

Last Name

HENDERSON

Business Name

MELINDA BRANDES HENDERSON

Original Issue Date

08/01/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021