MILDRED R BLICKEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039833

License Status

NOT RENEWED

Business

First Name

MILDRED R

Last Name

BLICKEM

Business Name

MILDRED R BLICKEM

Original Issue Date

08/09/1976

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/15/2005