BEVERLEY ANN BLAKE-O'DOHERTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041519421

License Status

NOT RENEWED

Business

First Name

BEVERLEY

Middle

ANN

Last Name

BLAKE-O'DOHERTY

Business Name

BEVERLEY ANN BLAKE-O'DOHERTY

Original Issue Date

12/21/2021

Effective Date

12/21/2021

Expiration Date

08/31/2022

City

POCATELLO

State

Zip

83204

Ever Disciplined

LastModifiedDate

10/08/2025