MATTIE L BLAIR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010920

License Status

INACTIVE

Business

First Name

MATTIE L

Last Name

BLAIR

Business Name

MATTIE L BLAIR

Original Issue Date

01/10/1963

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005