HAZEL PEARL PRESTINE BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104761

License Status

NOT RENEWED

Business

First Name

HAZEL PEARL

Middle

PRESTINE

Last Name

BLACKBURN

Business Name

HAZEL PEARL PRESTINE BLACKBURN

Original Issue Date

11/09/2007

Effective Date

11/09/2007

Expiration Date

01/31/2009

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2018