LISA A BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326208

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BLAKE

Business Name

LISA A BLAKE

Original Issue Date

08/29/2001

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2026