GARY S BLAKELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296042

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

BLAKELY

Business Name

GARY S BLAKELY

Original Issue Date

03/26/1996

Effective Date

08/03/2022

Expiration Date

06/30/2024

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

02/05/2025