NICOLE R BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303413

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BLAKE

Business Name

NICOLE R BLAKE

Original Issue Date

06/12/1997

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

LAKE OZARK

State

Zip

65049

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/28/2026