BEVERLEY E BLACKWOOD - Registered Nurse License in Illinois | # 043079493

BEVERLEY E BLACKWOOD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079493

License Status

NOT RENEWED

Business

N

First Name

BEVERLEY E

Last Name

BLACKWOOD

Business Name

BEVERLEY E BLACKWOOD

Original Issue Date

08/15/1996

Effective Date

11/03/2006

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009