ETTA MAE BLAIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019139

License Status

NOT RENEWED

Business

First Name

ETTA MAE

Last Name

BLAIR

Business Name

ETTA MAE BLAIR

Original Issue Date

06/06/1967

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005