BLANCHE I BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041072742

License Status

INACTIVE

Business

First Name

BLANCHE I

Last Name

BLAKE

Business Name

BLANCHE I BLAKE

Original Issue Date

09/12/1952

Effective Date

09/12/1952

Expiration Date

05/31/1986

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006