NATALIE DALE BLACKWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

NATALIE

Middle

DALE

Last Name

BLACKWOOD

Business Name

NATALIE DALE BLACKWOOD

Original Issue Date

06/30/2025

Effective Date

06/30/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026