BLAIR N ANGEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

BLAIR

Middle

Last Name

ANGEL

Business Name

BLAIR N ANGEL

Original Issue Date

10/28/2013

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

PANA

State

Zip

62557

County

CHRISTIAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026