MARY B BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108287

License Status

INACTIVE

Business

First Name

MARY B

Last Name

BLAKE

Business Name

MARY B BLAKE

Original Issue Date

12/06/1963

Effective Date

12/06/1963

City

ASPEN

State

Zip

81611

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2006