TAYLOR BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041488466

License Status

NOT RENEWED

Business

First Name

TAYLOR

Last Name

BLAKE

Business Name

TAYLOR BLAKE

Original Issue Date

11/25/2019

Effective Date

11/25/2019

Expiration Date

09/30/2020

City

PAOLA

State

Zip

66071

Ever Disciplined

LastModifiedDate

01/14/2021