SEVILLA M BLAYLOCK - Registered Nurse License in Illinois | # 043008763

SEVILLA M BLAYLOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008763

License Status

NOT RENEWED

Business

N

First Name

SEVILLA M

Last Name

BLAYLOCK

Business Name

SEVILLA M BLAYLOCK

Original Issue Date

09/30/1959

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005