EDYTHE N BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330765

License Status

NOT RENEWED

Business

First Name

EDYTHE

Middle

Last Name

BLACKWELL

Business Name

EDYTHE N BLACKWELL

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

05/31/2004

City

LOGANVILLE

State

Zip

30052

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006