CATHERINE L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175195

License Status

NOT RENEWED

Business

First Name

CATHERINE L

Last Name

BLAKE

Business Name

CATHERINE L BLAKE

Original Issue Date

10/12/1977

Effective Date

05/11/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014