AMY L BLAKEMORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090624

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BLAKEMORE

Business Name

AMY L BLAKEMORE

Original Issue Date

11/10/2004

Effective Date

11/10/2004

Expiration Date

01/31/2007

City

DU QUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

03/16/2007