WILBUR L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020011

License Status

NOT RENEWED

Business

First Name

WILBUR L

Last Name

BLAKE

Business Name

WILBUR L BLAKE

Original Issue Date

06/28/1967

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005