KATIE MAE BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153505

License Status

ACTIVE

Business

First Name

KATIE MAE

Last Name

BLAKE

Business Name

KATIE MAE BLAKE

Original Issue Date

02/22/1974

Effective Date

05/25/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026

Case Number

2009002914

Action

Suspension

Discipline Start Date

05/26/2009

Discipline End Date

07/27/2009

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.