LESLIE BRADY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

BRADY

Business Name

LESLIE BRADY

Original Issue Date

02/01/2013

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

LANCASTER

State

Zip

17602

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021