GENEVA BLOXOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020513

License Status

INACTIVE

Business

First Name

GENEVA

Last Name

BLOXOM

Business Name

GENEVA BLOXOM

Original Issue Date

06/28/1967

Expiration Date

01/31/1989

City

CHARLESTON

State

Zip

61920

County

KANE

Ever Disciplined

LastModifiedDate

10/21/2005