JENNIFER D BLAYLOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008242

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BLAYLOCK

Business Name

JENNIFER D BLAYLOCK

Original Issue Date

07/21/2010

Effective Date

03/25/2016

Expiration Date

05/31/2018

City

VAN ALSTYNE

State

Zip

75495

Ever Disciplined

LastModifiedDate

07/19/2018