BROGAN HANZEL REPP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

BROGAN

Middle

HANZEL

Last Name

REPP

Business Name

BROGAN HANZEL REPP

Original Issue Date

10/18/2023

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

ROUND LAKE

State

Zip

60073

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026