CAROLYN A BLASINGAME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072385

License Status

NOT RENEWED

Business

First Name

CAROLYN A

Last Name

BLASINGAME

Business Name

CAROLYN A BLASINGAME

Original Issue Date

12/23/1992

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005