SHANIQUE T BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124950

License Status

NOT RENEWED

Business

First Name

SHANIQUE

Middle

Last Name

BLAKE

Business Name

SHANIQUE T BLAKE

Original Issue Date

11/16/2017

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023