BLANCHETTE S DAVIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017093

License Status

INACTIVE

Business

First Name

BLANCHETTE S

Last Name

DAVIS

Business Name

BLANCHETTE S DAVIS

Original Issue Date

12/07/1966

Effective Date

12/28/2004

Expiration Date

01/31/2005

City

ALMA

State

Zip

62807

County

MARION

Ever Disciplined

LastModifiedDate

10/15/2005