ROBERTA S BLAKE - Registered Nurse License in Virginia | # 041100863

ROBERTA S BLAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100863

License Status

INACTIVE

Business

N

First Name

ROBERTA S

Last Name

BLAKE

Business Name

ROBERTA S BLAKE

Original Issue Date

11/10/1961

Effective Date

11/10/1961

Expiration Date

05/31/1990

State

VA

Ever Disciplined

N

LastModifiedDate

09/27/2006