KATHERINE E BLAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

BLAKE

Business Name

KATHERINE E BLAKE

Original Issue Date

03/06/2013

Effective Date

03/06/2013

Expiration Date

05/31/2014

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

07/03/2014