SHELA S BLASINGIM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217985

License Status

INACTIVE

Business

First Name

SHELA

Middle

Last Name

BLASINGIM

Business Name

SHELA S BLASINGIM

Original Issue Date

11/08/1983

Effective Date

06/21/2012

Expiration Date

05/31/2014

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2014