BLAKE M WOODS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088017

License Status

INACTIVE

Business

First Name

BLAKE

Middle

Last Name

WOODS

Business Name

BLAKE M WOODS

Original Issue Date

11/26/2002

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005