STACY L BLAKE - Registered Nurse License in Ohio | # 041271323

STACY L BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271323

License Status

NOT RENEWED

Business

N

First Name

STACY L

Last Name

BLAKE

Business Name

STACY L BLAKE

Original Issue Date

10/13/1992

Effective Date

10/13/1992

Expiration Date

05/31/1996

State

OH

Ever Disciplined

N

LastModifiedDate

09/27/2006