DIANE K BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140558

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

BLAKE

Business Name

DIANE K BLAKE

Original Issue Date

01/01/1997

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014