KELLY AMANDA BLAKEMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015887

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

AMANDA

Last Name

BLAKEMAN

Business Name

KELLY AMANDA BLAKEMAN

Original Issue Date

04/17/2017

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021