ALYSSA NICKOLE WILLIAMS-BLAKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

NICKOLE

Last Name

WILLIAMS-BLAKE

Business Name

ALYSSA NICKOLE WILLIAMS-BLAKE

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

LAKE

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026