WYVON L BLACKWELL - Advanced Practice Nurse License in Illinois | # 209011447

WYVON L BLACKWELL

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011447

License Status

INACTIVE

Business

N

First Name

WYVON

Middle

L

Last Name

BLACKWELL

Business Name

WYVON L BLACKWELL

Original Issue Date

04/04/2014

Effective Date

05/04/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020