MCKENZIE J BLACKBURN - Registered Nurse License in Illinois | # 043090011

MCKENZIE J BLACKBURN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090011

License Status

NOT RENEWED

Business

N

First Name

MCKENZIE

Middle

J

Last Name

BLACKBURN

Business Name

MCKENZIE J BLACKBURN

Original Issue Date

08/04/2004

Effective Date

01/19/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019