BRIAN G BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446286

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

BLAKE

Business Name

BRIAN G BLAKE

Original Issue Date

09/15/2016

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/01/2026