CARMEN B BLOMQUIST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

CARMEN

Middle

Last Name

BLOMQUIST

Business Name

CARMEN B BLOMQUIST

Original Issue Date

03/12/2025

Effective Date

03/12/2025

Expiration Date

05/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026