FLORNTINE BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065586

License Status

NOT RENEWED

Business

First Name

FLORNTINE

Last Name

BLAKE

Business Name

FLORNTINE BLAKE

Original Issue Date

01/06/1988

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CAIRO

State

Zip

62914

County

ALEXANDER

Ever Disciplined

LastModifiedDate

10/15/2005