ELLEN P BLACKMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041393351

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

BLACKMON

Business Name

ELLEN P BLACKMON

Original Issue Date

06/30/2011

Effective Date

04/20/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014