DOSHA MALINDA BLAKE - Registered Nurse License in Illinois | # 041145300

DOSHA MALINDA BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145300

License Status

NOT RENEWED

Business

N

First Name

DOSHA MALINDA

Last Name

BLAKE

Business Name

DOSHA MALINDA BLAKE

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006