KELSEY E BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125657

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

BLAKE

Business Name

KELSEY E BLAKE

Original Issue Date

07/06/2018

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/11/2021