BRENT MICHAEL DOUGLASS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041534637

License Status

ACTIVE

Business

First Name

BRENT

Middle

MICHAEL

Last Name

DOUGLASS

Business Name

BRENT MICHAEL DOUGLASS

Original Issue Date

11/01/2022

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

03/12/2026