BLAKE HANSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032277

License Status

ACTIVE

Business

First Name

BLAKE

Last Name

HANSEN

Business Name

BLAKE HANSEN

Original Issue Date

04/25/2025

Effective Date

04/25/2025

Expiration Date

05/31/2026

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

03/02/2026