AMY ELIZABETH BLACKWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033193

License Status

ACTIVE

Business

First Name

AMY

Middle

ELIZABETH

Last Name

BLACKWOOD

Business Name

AMY ELIZABETH BLACKWOOD

Original Issue Date

09/10/2025

Effective Date

09/10/2025

Expiration Date

05/31/2026

City

HIGHLAND

State

Zip

46322

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026