BRANDI ITHAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

BRANDI

Last Name

ITHAL

Business Name

BRANDI ITHAL

Original Issue Date

08/02/2021

Effective Date

05/03/2022

Expiration Date

06/30/2024

City

DARIEN

State

Zip

60561

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025