KEITHA LYNN VAN BLARICUM - Registered Nurse License in Illinois | # 043041273

KEITHA LYNN VAN BLARICUM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041273

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005