SUSAN C BLACKLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084660

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BLACKLOCK

Business Name

SUSAN C BLACKLOCK

Original Issue Date

02/22/2000

Effective Date

12/27/2004

Expiration Date

01/31/2007

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/16/2007