MATTHEW G BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041421062

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BLAKE

Business Name

MATTHEW G BLAKE

Original Issue Date

07/03/2014

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

KAILUA

State

Zip

96734

County

KANE

Ever Disciplined

LastModifiedDate

10/14/2022