EYAMA D BLACKMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334932

License Status

NOT RENEWED

Business

First Name

EYAMA

Middle

Last Name

BLACKMON

Business Name

EYAMA D BLACKMON

Original Issue Date

04/21/2003

Effective Date

04/21/2003

Expiration Date

05/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2008