CANDICE J BLACKERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

Last Name

BLACKERT

Business Name

CANDICE J BLACKERT

Original Issue Date

07/25/2001

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014