MARY V BLOCKSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041048628

License Status

NOT RENEWED

Business

First Name

MARY V

Last Name

BLOCKSOM

Business Name

MARY V BLOCKSOM

Original Issue Date

03/03/1944

Effective Date

03/03/1944

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006