VALERIE A BLACKKETTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087293

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

BLACKKETTER

Business Name

VALERIE A BLACKKETTER

Original Issue Date

04/17/2002

Effective Date

12/10/2004

Expiration Date

01/31/2007

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

04/04/2007