STACY CARLENE BLACKBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346443

License Status

NOT RENEWED

Business

First Name

STACY

Middle

CARLENE

Last Name

BLACKBURN

Business Name

STACY CARLENE BLACKBURN

Original Issue Date

06/17/2005

Effective Date

04/30/2014

Expiration Date

05/31/2016

City

HENDERSON

State

Zip

42420

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2016