KELLY L BLACKWELL Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060925

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

BLACKWELL

Business Name

KELLY L BLACKWELL

Original Issue Date

02/21/1985

Effective Date

01/28/2025

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/28/2025