BOBBY REB BLUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010152

License Status

ACTIVE

Business

First Name

BOBBY

Middle

REB

Last Name

BLUM

Business Name

BOBBY REB BLUM

Original Issue Date

12/28/2012

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

BALDWIN

State

Zip

62217

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/02/2026