CATHERINE L BLAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003110

License Status

NOT RENEWED

Business

First Name

CATHERINE L

Last Name

BLAKE

Business Name

CATHERINE L BLAKE

Original Issue Date

07/16/2001

Effective Date

05/11/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014