TEAH L BRANDT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

TEAH

Middle

Last Name

BRANDT

Business Name

TEAH L BRANDT

Original Issue Date

01/23/2017

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

SAINT CHARLES

State

Zip

60175

County

KANE

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/14/2022