DONNA M BLACKALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107997

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

BLACKALLER

Business Name

DONNA M BLACKALLER

Original Issue Date

11/13/1963

Effective Date

04/24/2014

Expiration Date

05/31/2016

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016