LISA D BLACKETTER - Advanced Practice Nurse License in Illinois | # 209010216

LISA D BLACKETTER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010216

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

D

Last Name

BLACKETTER

Business Name

LISA D BLACKETTER

Original Issue Date

02/06/2013

Effective Date

07/27/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025