CLYDIE M BLACKWELL Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165940

License Status

ACTIVE

Business

First Name

CLYDIE M

Last Name

BLACKWELL

Business Name

CLYDIE M BLACKWELL

Original Issue Date

03/19/1976

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

EAST ST LOUIS

State

Zip

62203

Ever Disciplined

LastModifiedDate

02/28/2026