JACQUELINE MARIE BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041438478

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

BLAKE

Business Name

JACQUELINE MARIE BLAKE

Original Issue Date

02/18/2016

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

TOWER LAKES

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018