CAROLYN C BLAKLEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021195

License Status

INACTIVE

Business

First Name

CAROLYN C

Last Name

BLAKLEY

Business Name

CAROLYN C BLAKLEY

Original Issue Date

12/07/1967

Effective Date

02/22/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012