MARILYN BARBARA BLAKE - Registered Nurse License in Illinois | # 041178552

MARILYN BARBARA BLAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178552

License Status

INACTIVE

Business

N

First Name

MARILYN BARBARA

Last Name

BLAKE

Business Name

MARILYN BARBARA BLAKE

Original Issue Date

11/07/1977

Effective Date

11/07/1977

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006