BUTCH OLIVER BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339684

License Status

ACTIVE

Business

First Name

BUTCH

Middle

OLIVER

Last Name

BLAKE

Business Name

BUTCH OLIVER BLAKE

Original Issue Date

04/08/2004

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/01/2026