NICOLE M BLAYLOCK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084745

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BLAYLOCK

Business Name

NICOLE M BLAYLOCK

Original Issue Date

03/14/2000

Effective Date

12/29/2024

Expiration Date

01/31/2027

City

VALMEYER

State

Zip

62295

County

MONROE

Ever Disciplined

LastModifiedDate

12/29/2024