SANDY BLAKE - Registered Nurse License in Arizona | # 041518347

SANDY BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041518347

License Status

NOT RENEWED

Business

N

First Name

SANDY

Last Name

BLAKE

Business Name

SANDY BLAKE

Original Issue Date

11/17/2021

Effective Date

11/17/2021

Expiration Date

08/31/2022

State

AZ

Ever Disciplined

N

LastModifiedDate

10/14/2022