PHOEBE L BLAKELEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077328

License Status

NOT RENEWED

Business

First Name

PHOEBE

Middle

Last Name

BLAKELEY

Business Name

PHOEBE L BLAKELEY

Original Issue Date

03/29/1995

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2018