CAROL LEE BLACKMON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142922

License Status

INACTIVE

Business

First Name

CAROL LEE

Last Name

BLACKMON

Business Name

CAROL LEE BLACKMON

Original Issue Date

01/26/1972

Effective Date

01/26/1972

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006