BRENDA A WEAVER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

WEAVER

Business Name

BRENDA A WEAVER

Original Issue Date

05/09/2022

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026