BREANNE L LARSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

BREANNE

Middle

Last Name

LARSON

Business Name

BREANNE L LARSON

Original Issue Date

11/25/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2024