KIMBERLY ANN BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324741

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BLAKE

Business Name

KIMBERLY ANN BLAKE

Original Issue Date

06/14/2001

Effective Date

06/14/2001

Expiration Date

05/31/2006

City

INDIANAPOLIS

State

Zip

46240

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006