DOLORES J BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025604

License Status

NOT RENEWED

Business

First Name

DOLORES J

Last Name

BLAKE

Business Name

DOLORES J BLAKE

Original Issue Date

10/28/1969

Expiration Date

01/31/1999

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

05/27/2005