KERENSTA N BLACKEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080856

License Status

NOT RENEWED

Business

First Name

KERENSTA

Middle

Last Name

BLACKEN

Business Name

KERENSTA N BLACKEN

Original Issue Date

05/14/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

PITTSFIELD

State

Zip

62363

Ever Disciplined

LastModifiedDate

10/21/2005