LINDA K BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029968

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

Last Name

BLAKE

Business Name

LINDA K BLAKE

Original Issue Date

12/15/1971

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

GREENFIELD

State

Zip

62044

County

GREENE

Ever Disciplined

LastModifiedDate

10/15/2005