CHRISTINE DIANE BREIDENBACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

DIANE

Last Name

BREIDENBACH

Business Name

CHRISTINE DIANE BREIDENBACH

Original Issue Date

09/16/2025

Effective Date

09/16/2025

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026