DELORES BLACKMORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010221

License Status

INACTIVE

Business

First Name

DELORES

Last Name

BLACKMORE

Business Name

DELORES BLACKMORE

Original Issue Date

04/02/1962

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

10/21/2005