BREANN SHALENE FARR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

BREANN

Middle

SHALENE

Last Name

FARR

Business Name

BREANN SHALENE FARR

Original Issue Date

08/24/2017

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

TABLE GROVE

State

Zip

61482

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026