MARY M BLAKE - Registered Nurse License in Illinois | # 041223453

MARY M BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223453

License Status

NOT RENEWED

Business

N

First Name

MARY M

Last Name

BLAKE

Business Name

MARY M BLAKE

Original Issue Date

09/12/1984

Effective Date

09/12/1984

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006