DEREK CHRISTOPHER BRADDIX Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

DEREK

Middle

CHRISTOPHER

Last Name

BRADDIX

Business Name

DEREK CHRISTOPHER BRADDIX

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

05/31/2026

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026