WYVON L BLACKWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000872

License Status

ACTIVE

Business

First Name

WYVON

Middle

Last Name

BLACKWELL

Business Name

WYVON L BLACKWELL

Original Issue Date

07/01/2020

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2026