DEBRA B BLAKELY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202904

License Status

INACTIVE

Business

First Name

DEBRA

Middle

Last Name

BLAKELY

Business Name

DEBRA B BLAKELY

Original Issue Date

05/19/1981

Effective Date

04/26/2012

Expiration Date

05/31/2014

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014