DIANE K BLAKE - Registered Nurse License in Illinois | # 041140558

DIANE K BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140558

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014