JEAN MARIE BLASCOE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

MARIE

Last Name

BLASCOE

Business Name

JEAN MARIE BLASCOE

Original Issue Date

06/14/2006

Effective Date

07/22/2008

Expiration Date

05/31/2010

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

08/11/2010