BRIDGET S BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112769

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

Last Name

BLAKE

Business Name

BRIDGET S BLAKE

Original Issue Date

06/21/2011

Effective Date

12/12/2012

Expiration Date

01/31/2015

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015