BRENDA S BORKGREN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

BRENDA

Middle

Last Name

BORKGREN

Business Name

BRENDA S BORKGREN

Original Issue Date

10/05/2007

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2018