MARY LOU BLAGBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114732

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

BLAGBURN

Business Name

MARY LOU BLAGBURN

Original Issue Date

10/04/1965

Effective Date

10/04/1965

Expiration Date

05/31/2004

City

GLENDALE

State

Zip

85308

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006