DORA LEE BLACKBU HACKNEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025775

License Status

INACTIVE

Business

First Name

DORA LEE BLACKBU

Last Name

HACKNEY

Business Name

DORA LEE BLACKBU HACKNEY

Original Issue Date

12/12/1969

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005