BLAKE M WOODS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

BLAKE

Middle

Last Name

WOODS

Business Name

BLAKE M WOODS

Original Issue Date

09/05/2019

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

METROPOLIS

State

Zip

62960

County

MASSAC

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2025