MADONNA L BLACKBURN - Registered Nurse License in Illinois | # 041159565

MADONNA L BLACKBURN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159565

License Status

NOT RENEWED

Business

N

First Name

MADONNA L

Last Name

BLACKBURN

Business Name

MADONNA L BLACKBURN

Original Issue Date

01/30/1975

Effective Date

01/30/1975

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006