MICHELLE A BLACKMER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

MICHELLE A

Last Name

BLACKMER

Business Name

MICHELLE A BLACKMER

Original Issue Date

11/04/2013

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

ROCK FALLS

State

Zip

61071

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018