FAYLENE J BLAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162254

License Status

NOT RENEWED

Business

First Name

FAYLENE J

Last Name

BLAINE

Business Name

FAYLENE J BLAINE

Original Issue Date

10/24/1975

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/19/2018