SALLY BETH BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171085

License Status

ACTIVE

Business

First Name

SALLY BETH

Last Name

BLAKE

Business Name

SALLY BETH BLAKE

Original Issue Date

11/01/1976

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

02/28/2026