KATHLEEN M BLACKMORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168685

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

BLACKMORE

Business Name

KATHLEEN M BLACKMORE

Original Issue Date

11/01/1976

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012