KIMBERLY ANN BLAKE - Registered Nurse License in Indiana | # 041324741

KIMBERLY ANN BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324741

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

BLAKE

Business Name

KIMBERLY ANN BLAKE

Original Issue Date

06/14/2001

Effective Date

06/14/2001

Expiration Date

05/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006