BEVERLEY E BLACKWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079493

License Status

NOT RENEWED

Business

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

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/17/2009