EBONEE MONIQUE BLAKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025731

License Status

ACTIVE

Business

First Name

EBONEE

Middle

MONIQUE

Last Name

BLAKE

Business Name

EBONEE MONIQUE BLAKE

Original Issue Date

08/12/2022

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026