GLENELL E BLAIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017160

License Status

NOT RENEWED

Business

First Name

GLENELL E

Last Name

BLAIR

Business Name

GLENELL E BLAIR

Original Issue Date

12/19/1966

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005