ANNA R BLAUW Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

BLAUW

Business Name

ANNA R BLAUW

Original Issue Date

01/23/2018

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60625

County

CALIFORNIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022