BRIAN S BLAYLOCK - Registered Nurse License in Illinois | # 041417596

BRIAN S BLAYLOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417596

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

S

Last Name

BLAYLOCK

Business Name

BRIAN S BLAYLOCK

Original Issue Date

01/31/2014

Effective Date

04/20/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018