MARY S BLALOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355517

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BLALOCK

Business Name

MARY S BLALOCK

Original Issue Date

08/31/2006

Effective Date

08/31/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008