NICOLE MICHELLE TABATABAI BLYTHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029818

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MICHELLE TABATABAI

Last Name

BLYTHE

Business Name

NICOLE MICHELLE TABATABAI BLYTHE

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026