ETHEL MAE BLACKBURN - Registered Nurse License in Illinois | # 043025507

ETHEL MAE BLACKBURN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025507

License Status

INACTIVE

Business

N

First Name

ETHEL MAE

Last Name

BLACKBURN

Business Name

ETHEL MAE BLACKBURN

Original Issue Date

10/28/1969

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005