NICOLE R BRUNAUGH 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

NICOLE

Middle

Last Name

BRUNAUGH

Business Name

NICOLE R BRUNAUGH

Original Issue Date

08/18/2021

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026