CAROL JUNE BLAISDELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041373097

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

JUNE

Last Name

BLAISDELL

Business Name

CAROL JUNE BLAISDELL

Original Issue Date

12/09/2008

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021