ANDREA L BLANK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011083

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BLANK

Business Name

ANDREA L BLANK

Original Issue Date

12/05/2013

Effective Date

04/17/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021