HEATHER D BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075546

License Status

INACTIVE

Business

First Name

HEATHER D

Last Name

BLAKE

Business Name

HEATHER D BLAKE

Original Issue Date

05/25/1994

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ASHLAND

State

Zip

41102

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/10/2008