PHYLLIS B BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041051020

License Status

INACTIVE

Business

First Name

PHYLLIS B

Last Name

BLAKE

Business Name

PHYLLIS B BLAKE

Original Issue Date

03/15/1945

Effective Date

03/15/1945

Expiration Date

05/31/1996

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/27/2006