DANA C BRENNEMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

BRENNEMAN

Business Name

DANA C BRENNEMAN

Original Issue Date

11/09/2019

Effective Date

04/08/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022