EYAMA D BLACKMON - Registered Nurse License in Illinois | # 041334932

EYAMA D BLACKMON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334932

License Status

NOT RENEWED

Business

N

First Name

EYAMA

Middle

D

Last Name

BLACKMON

Business Name

EYAMA D BLACKMON

Original Issue Date

04/21/2003

Effective Date

04/21/2003

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008