RYAN P BLAKE - Advanced Practice Nurse License in Illinois | # 209019763

RYAN P BLAKE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019763

License Status

ACTIVE

Business

N

First Name

RYAN

Middle

P

Last Name

BLAKE

Business Name

RYAN P BLAKE

Original Issue Date

08/06/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026