SUSAN BLACKBURN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012163

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

BLACKBURN

Business Name

SUSAN BLACKBURN

Original Issue Date

11/05/2014

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018