HENRIETTA OLESTE BLACKMON - Registered Nurse License in Indiana | # 043040047

HENRIETTA OLESTE BLACKMON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040047

License Status

INACTIVE

Business

N

First Name

HENRIETTA OLESTE

Last Name

BLACKMON

Business Name

HENRIETTA OLESTE BLACKMON

Original Issue Date

01/13/1977

Expiration Date

01/31/1989

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005