ROBERT L BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122029

License Status

INACTIVE

Business

First Name

ROBERT

Middle

Last Name

BLAKE

Business Name

ROBERT L BLAKE

Original Issue Date

01/25/2016

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2020