MARCELLA L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088399

License Status

NOT RENEWED

Business

First Name

MARCELLA

Middle

Last Name

BLAKE

Business Name

MARCELLA L BLAKE

Original Issue Date

03/27/2003

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/17/2009