BRIAN G BLAKE - Advanced Practice Nurse License in Illinois | # 209022503

BRIAN G BLAKE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022503

License Status

ACTIVE

Business

N

First Name

BRIAN

Middle

G

Last Name

BLAKE

Business Name

BRIAN G BLAKE

Original Issue Date

12/09/2020

Effective Date

05/20/2024

Expiration Date

05/31/2026

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

03/02/2026