MARTHA D BLOCKER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013752

License Status

INACTIVE

Business

First Name

MARTHA D

Last Name

BLOCKER

Business Name

MARTHA D BLOCKER

Original Issue Date

08/12/1965

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005