BROOKE E KENNARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

BROOKE

Middle

Last Name

KENNARD

Business Name

BROOKE E KENNARD

Original Issue Date

11/18/2021

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026