AUSTIN BLAKE ELLIOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011462

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

BLAKE

Last Name

ELLIOTT

Business Name

AUSTIN BLAKE ELLIOTT

Original Issue Date

04/10/2014

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

FANCY FARM

State

Zip

42039

County

KENTUCKY

Ever Disciplined

LastModifiedDate

03/02/2026