VICKI JAN BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144967

License Status

NOT RENEWED

Business

First Name

VICKI JAN

Last Name

BLACKWELL

Business Name

VICKI JAN BLACKWELL

Original Issue Date

09/28/1972

Effective Date

04/25/2014

Expiration Date

05/31/2016

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016