BRENT BLAYNEY LANE - Registered Nurse License in Florida | # 043037250

BRENT BLAYNEY LANE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037250

License Status

NOT RENEWED

Business

N

First Name

BRENT BLAYNEY

Last Name

LANE

Business Name

BRENT BLAYNEY LANE

Original Issue Date

06/10/1975

Expiration Date

01/31/1987

State

FL

Ever Disciplined

N

LastModifiedDate

12/07/2005