THERESA SQUIBB BLAIR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210067

License Status

INACTIVE

Business

First Name

THERESA SQUIBB

Last Name

BLAIR

Business Name

THERESA SQUIBB BLAIR

Original Issue Date

05/10/1982

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/08/2020