NIKKI JO BLACKMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

Last Name

BLACKMAN

Business Name

NIKKI JO BLACKMAN

Original Issue Date

02/10/2017

Effective Date

02/10/2017

Expiration Date

05/31/2018

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/19/2018