PATRICIA ANN BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040799

License Status

NOT RENEWED

Business

First Name

PATRICIA ANN

Last Name

BLACKWELL

Business Name

PATRICIA ANN BLACKWELL

Original Issue Date

02/02/1977

Expiration Date

01/31/1991

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005