MARY L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041252012

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

BLAKE

Business Name

MARY L BLAKE

Original Issue Date

04/18/1989

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012