TERESA A BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110282

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

BLACKWELL

Business Name

TERESA A BLACKWELL

Original Issue Date

04/29/2010

Effective Date

12/03/2012

Expiration Date

01/31/2015

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/09/2015