DIANA BRENISH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

DIANA

Last Name

BRENISH

Business Name

DIANA BRENISH

Original Issue Date

11/09/2023

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026