RYAN P BLAKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019763

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

BLAKE

Business Name

RYAN P BLAKE

Original Issue Date

08/06/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026