SANDRA L BLANK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041094394

License Status

INACTIVE

Business

First Name

SANDRA L

Last Name

BLANK

Business Name

SANDRA L BLANK

Original Issue Date

11/25/1959

Effective Date

11/25/1959

Expiration Date

05/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006