BLAKE WILLIAM FERRY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

BLAKE

Middle

WILLIAM

Last Name

FERRY

Business Name

BLAKE WILLIAM FERRY

Original Issue Date

02/27/2025

Effective Date

02/27/2025

Expiration Date

05/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026