DOLORES J BLAKE - Registered Nurse License in Illinois | # 043025604

DOLORES J BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025604

License Status

NOT RENEWED

Business

N

First Name

DOLORES J

Last Name

BLAKE

Business Name

DOLORES J BLAKE

Original Issue Date

10/28/1969

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005