LILLIAN BLACKMON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006947

License Status

INACTIVE

Business

First Name

LILLIAN

Last Name

BLACKMON

Business Name

LILLIAN BLACKMON

Original Issue Date

01/17/1956

Expiration Date

01/31/1985

City

EAST ST. LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005