SALLIE ANNE VAN BLARICUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102418

License Status

NOT RENEWED

Business

First Name

SALLIE

Middle

ANNE

Last Name

VAN BLARICUM

Business Name

SALLIE ANNE VAN BLARICUM

Original Issue Date

10/12/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ALBION

State

Zip

62806

County

EDWARDS

Ever Disciplined

LastModifiedDate

03/17/2009