MILDRED M BLAKE - Registered Nurse License in Illinois | # 043016055

MILDRED M BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016055

License Status

NOT RENEWED

Business

N

First Name

MILDRED M

Last Name

BLAKE

Business Name

MILDRED M BLAKE

Original Issue Date

09/16/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005