SUSAN N BLALOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041286454

License Status

INACTIVE

Business

First Name

SUSAN N

Last Name

BLALOCK

Business Name

SUSAN N BLALOCK

Original Issue Date

12/29/1994

Effective Date

12/29/1994

Expiration Date

05/31/2004

City

HAZELWOOD

State

Zip

63042

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006