License holder summary

LISA D BLACKETTER is a Advanced Practice Nurse licensed to practice in Illinois. The address on file for LISA D BLACKETTER is Carbondale, IL 62901. This nurses license is current. The license was granted 02/06/2013 and expired on 05/31/2016.

Department of Financial and Professional Regulation

Board of Nursing

LISA D BLACKETTER
Advanced Practice Nurse
License number
209010216
Date granted
02/06/2013
Date expires
05/31/2016
Class
Advanced Practice Nurse
Status
Active
Address
Carbondale, IL 62901
illinoisnursing.org
ID 23676627
LAST UPDATED 2021-06-07 03:02:49 UTC

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