GENEVA BLOXOM - Registered Nurse License in Illinois | # 043020513

GENEVA BLOXOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020513

License Status

INACTIVE

Business

N

First Name

GENEVA

Last Name

BLOXOM

Business Name

GENEVA BLOXOM

Original Issue Date

06/28/1967

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005