BOBBY REB BLUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

BOBBY

Middle

REB

Last Name

BLUM

Business Name

BOBBY REB BLUM

Original Issue Date

03/19/2013

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

BALDWIN

State

Zip

62217

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026