OTISTINE BLACKMON - Registered Nurse License in Illinois | # 043013809

OTISTINE BLACKMON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013809

License Status

NOT RENEWED

Business

N

First Name

OTISTINE

Last Name

BLACKMON

Business Name

OTISTINE BLACKMON

Original Issue Date

10/07/1965

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005