DANIELLE R BLAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021461

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

BLAKE

Business Name

DANIELLE R BLAKE

Original Issue Date

06/20/2020

Effective Date

08/16/2022

Expiration Date

06/30/2024

City

HORSEHEADS

State

Zip

14845

Ever Disciplined

LastModifiedDate

02/05/2025