SARA J BRANDAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

BRANDAL

Business Name

SARA J BRANDAL

BusinessDBA

GOFFINSKI

Original Issue Date

07/14/2015

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

GILBERTS

State

Zip

60136

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021