KIM E BLACKSTONE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082253

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

BLACKSTONE

Business Name

KIM E BLACKSTONE

Original Issue Date

05/05/1998

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005