CAROL BLACKBURN - Registered Nurse License in Illinois | # 043008762

CAROL BLACKBURN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008762

License Status

INACTIVE

Business

N

First Name

CAROL

Last Name

BLACKBURN

Business Name

CAROL BLACKBURN

Original Issue Date

09/30/1959

Effective Date

11/30/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006