BLYTHE S AMMERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041054476

License Status

INACTIVE

Business

First Name

BLYTHE S

Last Name

AMMERMAN

Business Name

BLYTHE S AMMERMAN

Original Issue Date

09/04/1946

Effective Date

09/04/1946

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006