ROBIN L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101109

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

Last Name

BLAKE

Business Name

ROBIN L BLAKE

Original Issue Date

12/29/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/17/2009