JESSICA M BLANK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

JESSICA

Middle

Last Name

BLANK

Business Name

JESSICA M BLANK

Original Issue Date

10/04/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026