JUSTIN DAVID BLYTHE JR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032573

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

DAVID

Last Name

BLYTHE

Suffix

Business Name

JUSTIN DAVID BLYTHE JR

Original Issue Date

06/20/2025

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2026