ALEXIS BRUMFIELD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

ALEXIS

Last Name

BRUMFIELD

Business Name

ALEXIS BRUMFIELD

Original Issue Date

11/07/2018

Effective Date

11/07/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021