MARY M BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223453

License Status

NOT RENEWED

Business

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

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006