ELIZABETH J BLACKLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105279

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

BLACKLOCK

Business Name

ELIZABETH J BLACKLOCK

Original Issue Date

12/28/1962

Effective Date

12/28/1962

Expiration Date

05/31/2006

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006