LISA D BLACKETTER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010216

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BLACKETTER

Business Name

LISA D BLACKETTER

Original Issue Date

02/06/2013

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

02/05/2025