BLAKE V FEHRENBACHER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113412

License Status

INACTIVE

Business

First Name

BLAKE

Middle

Last Name

FEHRENBACHER

Business Name

BLAKE V FEHRENBACHER

Original Issue Date

09/14/2011

Effective Date

09/14/2011

Expiration Date

01/31/2013

City

INGRAHAM

State

Zip

62434

County

CLAY

Ever Disciplined

LastModifiedDate

11/08/2012