SALLIE ANNE VAN BLARICUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023417

License Status

ACTIVE

Business

First Name

SALLIE

Middle

ANNE

Last Name

VAN BLARICUM

Business Name

SALLIE ANNE VAN BLARICUM

Original Issue Date

06/23/2021

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

NOBLE

State

Zip

62868

Ever Disciplined

LastModifiedDate

03/02/2026