TAMMY JO BLACKLOCK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041543624

License Status

ACTIVE

Business

First Name

TAMMY

Middle

Last Name

BLACKLOCK

Business Name

TAMMY JO BLACKLOCK

Original Issue Date

05/05/2023

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

PFAFFTOWN

State

Zip

27040

Ever Disciplined

LastModifiedDate

03/01/2026