HENRIETTA OLESTE BLACKMON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040047

License Status

INACTIVE

Business

First Name

HENRIETTA OLESTE

Last Name

BLACKMON

Business Name

HENRIETTA OLESTE BLACKMON

Original Issue Date

01/13/1977

Expiration Date

01/31/1989

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005