BARBARA J BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073394

License Status

INACTIVE

Business

First Name

BARBARA J

Last Name

BLAKE

Business Name

BARBARA J BLAKE

Original Issue Date

11/20/1952

Effective Date

11/20/1952

Expiration Date

05/31/1988

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006