SANDRA LYNN BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089738

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LYNN

Last Name

BLAKE

Business Name

SANDRA LYNN BLAKE

Original Issue Date

04/28/2004

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

03/10/2011