ANTOINETTE M BOBLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305824

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

Last Name

BOBLAK

Business Name

ANTOINETTE M BOBLAK

Original Issue Date

09/12/1997

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/11/2016