BRENDA L WILSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

WILSON

Business Name

BRENDA L WILSON

Original Issue Date

10/12/2025

Effective Date

10/12/2025

Expiration Date

05/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026