MARCELLA L BLAKE - Registered Nurse License in Illinois | # 043088399

MARCELLA L BLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088399

License Status

NOT RENEWED

Business

N

First Name

MARCELLA

Middle

L

Last Name

BLAKE

Business Name

MARCELLA L BLAKE

Original Issue Date

03/27/2003

Effective Date

11/03/2006

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009