BRIAN S BLAYLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417596

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BLAYLOCK

Business Name

BRIAN S BLAYLOCK

Original Issue Date

01/31/2014

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/19/2018