CAROLYN ANN BLAKE - Registered Nurse License in Oregon | # 041104914

CAROLYN ANN BLAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104914

License Status

INACTIVE

Business

N

First Name

CAROLYN ANN

Last Name

BLAKE

Business Name

CAROLYN ANN BLAKE

Original Issue Date

12/18/1962

Effective Date

12/18/1962

State

OR

Ever Disciplined

N

LastModifiedDate

09/27/2006