BRANDI A DOERFLEIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

BRANDI

Middle

Last Name

DOERFLEIN

Business Name

BRANDI A DOERFLEIN

Original Issue Date

10/29/2023

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026