CONSTANCE BLACKFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012289

License Status

INACTIVE

Business

First Name

CONSTANCE

Last Name

BLACKFORD

Business Name

CONSTANCE BLACKFORD

Original Issue Date

06/29/1964

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/03/2010