GEORGIA RAE BLACKKETTER - Registered Nurse License in Illinois | # 043075196

GEORGIA RAE BLACKKETTER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075196

License Status

NOT RENEWED

Business

N

First Name

GEORGIA RAE

Last Name

BLACKKETTER

Business Name

GEORGIA RAE BLACKKETTER

Original Issue Date

02/08/1994

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005