JEROLD WAYNE BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339443

License Status

NOT RENEWED

Business

First Name

JEROLD

Middle

WAYNE

Last Name

BLACKBURN

Business Name

JEROLD WAYNE BLACKBURN

Original Issue Date

03/16/2004

Effective Date

06/08/2022

Expiration Date

06/30/2024

City

EVANSVILLE

State

Zip

47715

Ever Disciplined

LastModifiedDate

02/05/2025