TERESA M BLAIR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005291

License Status

INACTIVE

Business

First Name

TERESA M

Last Name

BLAIR

Business Name

TERESA M BLAIR

Original Issue Date

09/22/2004

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

KENT

State

Zip

61044

County

CARROLL

Ever Disciplined

LastModifiedDate

03/08/2020