GWENDOLYN G BRUMBAUGH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

BRUMBAUGH

Business Name

GWENDOLYN G BRUMBAUGH

Original Issue Date

11/03/2006

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

BRIDGEWATER

State

Zip

22812

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021