THOMAS BLAKELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028310

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

BLAKELY

Business Name

THOMAS BLAKELY

Original Issue Date

04/28/1971

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005