DEANNA K BLOMENKAMP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090863

License Status

INACTIVE

Business

First Name

DEANNA

Middle

Last Name

BLOMENKAMP

Business Name

DEANNA K BLOMENKAMP

Original Issue Date

12/20/2004

Effective Date

01/14/2011

Expiration Date

01/31/2013

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/08/2012