KEITHA LYNN VAN BLARICUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041273

License Status

INACTIVE

Business

First Name

KEITHA LYNN

Last Name

VAN BLARICUM

Business Name

KEITHA LYNN VAN BLARICUM

Original Issue Date

02/02/1977

Expiration Date

01/31/1987

City

NOBLE

State

Zip

62868

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/21/2005