NICOLE M BLACKKETTER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041572001

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BLACKKETTER

Business Name

NICOLE M BLACKKETTER

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2026