AMY M BRANHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BRANHAM

Business Name

AMY M BRANHAM

Original Issue Date

05/06/2013

Effective Date

07/13/2022

Expiration Date

06/30/2024

City

PAWNEE

State

Zip

62558

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025