WYVON L BLACKWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****54

License Status

ACTIVE

Business

First Name

WYVON

Middle

Last Name

BLACKWELL

Business Name

WYVON L BLACKWELL

Original Issue Date

07/01/2020

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2026