BLAYNE WATTENBARGER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041493301

License Status

ACTIVE

Business

First Name

BLAYNE

Last Name

WATTENBARGER

Business Name

BLAYNE WATTENBARGER

Original Issue Date

03/17/2020

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

MILAN

State

Zip

63556

Ever Disciplined

LastModifiedDate

03/01/2026