KRISTEN LYNN BROKAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

LYNN

Last Name

BROKAW

Business Name

KRISTEN LYNN BROKAW

Original Issue Date

01/24/2018

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

WOODSTOCK

State

Zip

60098

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026