PETER M BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305412

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BLACKBURN

Business Name

PETER M BLACKBURN

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

05/31/2000

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2000000992

Action

Suspension

Discipline Start Date

04/23/2001

Discipline Reason

Diverted Fentanyl, a controlled substance, from his employer.