AMI MARIE BLAHA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

AMI

Middle

MARIE

Last Name

BLAHA

Business Name

AMI MARIE BLAHA

Original Issue Date

09/23/2025

Effective Date

09/23/2025

Expiration Date

05/31/2026

City

HILLSIDE

State

Zip

60162

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026