CRYSTAL D BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102276

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

BLAKE

Business Name

CRYSTAL D BLAKE

Original Issue Date

09/22/2006

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

01/27/2025