HAZEL C BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043003800

License Status

NOT RENEWED

Business

First Name

HAZEL C

Last Name

BLAKE

Business Name

HAZEL C BLAKE

Original Issue Date

05/06/1953

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005