NICOLE MICHELLE TABATABAI BLYTHE - Advanced Practice Nurse License in Illinois | # 209029818

NICOLE MICHELLE TABATABAI BLYTHE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029818

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

MICHELLE TABATABAI

Last Name

BLYTHE

Business Name

NICOLE MICHELLE TABATABAI BLYTHE

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026