ANDREA CELESTE BLACKWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

ANDREA

Middle

CELESTE

Last Name

BLACKWELL

Business Name

ANDREA CELESTE BLACKWELL

Original Issue Date

07/28/2022

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026