KRYSTINA M BLAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

KRYSTINA

Middle

Last Name

BLAS

Business Name

KRYSTINA M BLAS

Original Issue Date

07/20/2017

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026