SEVILLA M BLAYLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008763

License Status

NOT RENEWED

Business

First Name

SEVILLA M

Last Name

BLAYLOCK

Business Name

SEVILLA M BLAYLOCK

Original Issue Date

09/30/1959

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005