FAYLENE J BLAINE - Registered Nurse License in Illinois | # 041162254

FAYLENE J BLAINE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162254

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018