ANDREA L BLANK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BLANK

Business Name

ANDREA L BLANK

Original Issue Date

01/28/2014

Effective Date

05/08/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018