EDITH M BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041087700

License Status

NOT RENEWED

Business

First Name

EDITH M

Last Name

BLACKBURN

Business Name

EDITH M BLACKBURN

Original Issue Date

10/15/1957

Effective Date

05/12/2014

Expiration Date

05/31/2016

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016