KATHERINE E BLAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009946

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

BLAKE

Business Name

KATHERINE E BLAKE

Original Issue Date

10/23/2012

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

ST PETERSBURG

State

Zip

33705

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021