NATALIE DALE BLACKWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029899

License Status

ACTIVE

Business

First Name

NATALIE

Middle

DALE

Last Name

BLACKWOOD

Business Name

NATALIE DALE BLACKWOOD

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026