ETHEL MAE BLACKBURN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025507

License Status

INACTIVE

Business

First Name

ETHEL MAE

Last Name

BLACKBURN

Business Name

ETHEL MAE BLACKBURN

Original Issue Date

10/28/1969

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005