CAROL BLACKBURN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008762

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60690

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006