SHAUNA M BLACKMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104148

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

Last Name

BLACKMON

Business Name

SHAUNA M BLACKMON

Original Issue Date

09/11/2007

Effective Date

01/25/2011

Expiration Date

01/31/2013

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013