SHARA M BLACKMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088360

License Status

NOT RENEWED

Business

First Name

SHARA

Middle

Last Name

BLACKMON

Business Name

SHARA M BLACKMON

Original Issue Date

03/13/2003

Effective Date

01/20/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007