JUDITH ANN BLALOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192711

License Status

INACTIVE

Business

First Name

JUDITH ANN

Last Name

BLALOCK

Business Name

JUDITH ANN BLALOCK

Original Issue Date

10/17/1979

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2020