EILEEN BLACKBURN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116035

License Status

INACTIVE

Business

First Name

EILEEN

Last Name

BLACKBURN

Business Name

EILEEN BLACKBURN

Original Issue Date

12/15/1965

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2014