BETH Y BLANKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

BETH

Middle

Last Name

BLANKLEY

Business Name

BETH Y BLANKLEY

Original Issue Date

06/04/2024

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026