TAWANA G BLACKWELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049113

License Status

INACTIVE

Business

First Name

TAWANA G

Last Name

BLACKWELL

Business Name

TAWANA G BLACKWELL

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

MOORESVILLE

State

Zip

46158

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005