CHARLOTTE L BLACKBOURN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116914

License Status

INACTIVE

Business

First Name

CHARLOTTE L

Last Name

BLACKBOURN

Business Name

CHARLOTTE L BLACKBOURN

Original Issue Date

02/24/1966

Effective Date

03/23/2010

Expiration Date

05/31/2012

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

03/08/2012