ROBERT A BLAYLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041237172

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

BLAYLOCK

Business Name

ROBERT A BLAYLOCK

Original Issue Date

09/15/1986

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

LAKE ST LOUIS

State

Zip

63367

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/19/2018