SUSAN A BLYTHE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124572

License Status

INACTIVE

Business

First Name

SUSAN A

Last Name

BLYTHE

Business Name

SUSAN A BLYTHE

Original Issue Date

12/27/1967

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/08/2012