BRANDI LYNN VANDIVIER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

BRANDI

Middle

LYNN

Last Name

VANDIVIER

Business Name

BRANDI LYNN VANDIVIER

Original Issue Date

03/30/2019

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026