MARY S BLALOCK - Registered Nurse License in Illinois | # 041355517

MARY S BLALOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355517

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

S

Last Name

BLALOCK

Business Name

MARY S BLALOCK

Original Issue Date

08/31/2006

Effective Date

08/31/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008