GEORGIA RAE BLACKKETTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075196

License Status

NOT RENEWED

Business

First Name

GEORGIA RAE

Last Name

BLACKKETTER

Business Name

GEORGIA RAE BLACKKETTER

Original Issue Date

02/08/1994

Expiration Date

01/31/1999

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005