BRENDA C BLICKHAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

BLICKHAN

Business Name

BRENDA C BLICKHAN

Original Issue Date

01/07/2021

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026