JUANITA E BLAYLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089792

License Status

INACTIVE

Business

First Name

JUANITA E

Last Name

BLAYLOCK

Business Name

JUANITA E BLAYLOCK

Original Issue Date

04/01/1958

Effective Date

04/01/1958

Expiration Date

05/31/1992

City

YUCAIPA

State

Zip

92399

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006