BRANDIE MARIE SMALLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

BRANDIE

Middle

MARIE

Last Name

SMALLEY

Business Name

BRANDIE MARIE SMALLEY

Original Issue Date

04/22/2021

Effective Date

04/22/2021

Expiration Date

05/31/2022

City

OFALLON

State

Zip

63366

Ever Disciplined

LastModifiedDate

04/23/2021