LISA L BLAKE - Registered Nurse License in South Carolina | # 041299064

LISA L BLAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299064

License Status

INACTIVE

Business

N

First Name

LISA L

Last Name

BLAKE

Business Name

LISA L BLAKE

Original Issue Date

08/20/1996

Effective Date

07/31/2008

Expiration Date

05/31/2010

State

SC

Ever Disciplined

N

LastModifiedDate

03/05/2010