CHRISTINA ELIZABETH VENTIMIGLIA-BRANDT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

ELIZABETH

Last Name

VENTIMIGLIA-BRANDT

Business Name

CHRISTINA ELIZABETH VENTIMIGLIA-BRANDT

Original Issue Date

01/23/2017

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021