CANDICE J BLACKERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001399

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

Last Name

BLACKERT

Business Name

CANDICE J BLACKERT

Original Issue Date

06/21/2001

Effective Date

03/28/2016

Expiration Date

05/31/2018

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018