KATHERINE E BLAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

BLAKE

Business Name

KATHERINE E BLAKE

Original Issue Date

12/05/2013

Effective Date

03/18/2016

Expiration Date

05/31/2018

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018