BRANDON BLACKWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

BRANDON

Last Name

BLACKWOOD

Business Name

BRANDON BLACKWOOD

Original Issue Date

01/13/2020

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026