MCKENZIE J BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090011

License Status

NOT RENEWED

Business

First Name

MCKENZIE

Middle

Last Name

BLACKBURN

Business Name

MCKENZIE J BLACKBURN

Original Issue Date

08/04/2004

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/28/2019