BLAIR M GALLIVAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041398442

License Status

ACTIVE

Business

First Name

BLAIR

Middle

Last Name

GALLIVAN

Business Name

BLAIR M GALLIVAN

Original Issue Date

12/22/2011

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2026