ROBERT L BLAKE - Registered Nurse License in Illinois | # 043122029

ROBERT L BLAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122029

License Status

INACTIVE

Business

N

First Name

ROBERT

Middle

L

Last Name

BLAKE

Business Name

ROBERT L BLAKE

Original Issue Date

01/25/2016

Effective Date

01/23/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2020