COLLEEN R BLACKBURN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

BLACKBURN

Business Name

COLLEEN R BLACKBURN

Original Issue Date

01/17/2013

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

GERMANTOWN HILLS

State

Zip

61548

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026