DALE R EVANS-BLACKMON - Registered Nurse License in Missouri | # 041250836

DALE R EVANS-BLACKMON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041250836

License Status

NOT RENEWED

Business

N

First Name

DALE R

Last Name

EVANS-BLACKMON

Business Name

DALE R EVANS-BLACKMON

Original Issue Date

11/23/1988

Effective Date

11/23/1988

Expiration Date

05/31/2000

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006