JUANITA A BLAKEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083667

License Status

NOT RENEWED

Business

First Name

JUANITA

Middle

Last Name

BLAKEY

Business Name

JUANITA A BLAKEY

Original Issue Date

05/05/1999

Effective Date

03/23/2005

Expiration Date

01/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/04/2007