MARY S BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403698

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

BLAKE

Business Name

MARY S BLAKE

Original Issue Date

07/27/2012

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026