JANET M BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070922

License Status

INACTIVE

Business

First Name

JANET M

Last Name

BLAKE

Business Name

JANET M BLAKE

Original Issue Date

01/16/1992

Effective Date

12/02/2005

Expiration Date

01/31/2007

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

11/03/2006