KELLEY BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041519385

License Status

NOT RENEWED

Business

First Name

KELLEY

Last Name

BLAKE

Business Name

KELLEY BLAKE

Original Issue Date

12/20/2021

Effective Date

12/20/2021

Expiration Date

08/31/2022

City

DOTHAN

State

Zip

36301

Ever Disciplined

LastModifiedDate

10/14/2022