License Directory

Stephanie Nicole Blaha

Expired

Illinois license 38*****63

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
38*****63
Status
Expired (Not Renewed)
First issued
January 26, 2021
Expired
March 1, 2022
License holder
Stephanie Nicole Blaha
Entity type
Individual

Classifications

More from the license record

Delegated controlled substance schedules
II III IV V
Current term began
01/26/2021

Other Illinois licenses under this name

  • IL
    Stephanie Nicole Blaha
    License 085007939
    Licensed Physician Assistant
    Expired
    Racine, WI
    Expired Mar 1, 2022

Contact

Decatur, IL 62526
Macon County