LENNA B BLACKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041212923

License Status

NOT RENEWED

Business

First Name

LENNA B

Last Name

BLACKER

Business Name

LENNA B BLACKER

Original Issue Date

11/04/1982

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

01/14/2021