CAROL L BLACKBURN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083098

License Status

INACTIVE

Business

First Name

CAROL L

Last Name

BLACKBURN

Business Name

CAROL L BLACKBURN

Original Issue Date

12/20/1955

Effective Date

12/20/1955

Expiration Date

05/31/1986

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006