TRACY E BLAKES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085757

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BLAKES

Business Name

TRACY E BLAKES

Original Issue Date

12/21/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

KALAMAZOO

State

Zip

49008

Ever Disciplined

LastModifiedDate

10/21/2005