BERNADINE N BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041031485

License Status

INACTIVE

Business

First Name

BERNADINE N

Last Name

BLAKE

Business Name

BERNADINE N BLAKE

Original Issue Date

07/28/1936

Effective Date

07/28/1936

Expiration Date

05/31/1986

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006