SANDRA J BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349360

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

BLACKBURN

Business Name

SANDRA J BLACKBURN

Original Issue Date

10/03/2005

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

OREANA

State

Zip

62554

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014