JACOB BENJAMIN BLOUNT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018171

License Status

ACTIVE

Business

First Name

JACOB

Middle

BENJAMIN

Last Name

BLOUNT

Business Name

JACOB BENJAMIN BLOUNT

Original Issue Date

09/13/2018

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026