FLORNTINE BLAKE - Registered Nurse License in Illinois | # 043065586

FLORNTINE BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065586

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005