THOMASINA EMILY BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029399

License Status

INACTIVE

Business

First Name

THOMASINA EMILY

Last Name

BLAKE

Business Name

THOMASINA EMILY BLAKE

Original Issue Date

11/03/1971

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005