ELIZABETH J BLACKLOCK - Registered Nurse License in Illinois | # 041105279

ELIZABETH J BLACKLOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105279

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

J

Last Name

BLACKLOCK

Business Name

ELIZABETH J BLACKLOCK

Original Issue Date

12/28/1962

Effective Date

12/28/1962

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006