KAREN V BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104044

License Status

INACTIVE

Business

First Name

KAREN V

Last Name

BLAKE

Business Name

KAREN V BLAKE

Original Issue Date

11/09/1962

Effective Date

11/09/1962

Expiration Date

05/31/2004

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

10/09/2006