MARILYN J BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158444

License Status

INACTIVE

Business

First Name

MARILYN J

Last Name

BLAKE

Business Name

MARILYN J BLAKE

Original Issue Date

12/13/1974

Effective Date

12/13/1974

Expiration Date

05/31/1988

City

SAN FRANCISCO

State

Zip

94110

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006