JUANITA M BLAIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017129

License Status

NOT RENEWED

Business

First Name

JUANITA M

Last Name

BLAIR

Business Name

JUANITA M BLAIR

Original Issue Date

12/19/1966

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005