BRENDA K FOWLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

FOWLER

Business Name

BRENDA K FOWLER

Original Issue Date

02/08/2017

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026