HELAINE S BLOMENKAMP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

HELAINE

Middle

Last Name

BLOMENKAMP

Business Name

HELAINE S BLOMENKAMP

Original Issue Date

04/01/2023

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026