TERESA M BLAIR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

TERESA M

Last Name

BLAIR

Business Name

TERESA M BLAIR

Original Issue Date

11/09/2004

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

03/08/2012