BRENT BLAYNEY LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037250

License Status

NOT RENEWED

Business

First Name

BRENT BLAYNEY

Last Name

LANE

Business Name

BRENT BLAYNEY LANE

Original Issue Date

06/10/1975

Expiration Date

01/31/1987

City

NEW PORT RICHEY

State

Zip

34653

Ever Disciplined

LastModifiedDate

12/07/2005