LOTTIE F BLAGG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017826

License Status

NOT RENEWED

Business

First Name

LOTTIE F

Last Name

BLAGG

Business Name

LOTTIE F BLAGG

Original Issue Date

01/24/1967

City

WESTFIELD

State

Zip

62474

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005