BRENTON M WAYSTOUT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****49

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

WAYSTOUT

Business Name

BRENTON M WAYSTOUT

Original Issue Date

09/07/2019

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

02/05/2025