KAYLA M BLUNDY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

KAYLA

Middle

Last Name

BLUNDY

Business Name

KAYLA M BLUNDY

Original Issue Date

05/23/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

03/31/2023