KELLI J BLAISE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276110

License Status

ACTIVE

Business

First Name

KELLI J

Last Name

BLAISE

Business Name

KELLI J BLAISE

Original Issue Date

10/12/1993

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/18/2026