CAROL J BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131547

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

BLAKE

Business Name

CAROL J BLAKE

Original Issue Date

08/26/1969

Effective Date

08/26/1969

City

SOMERSWORTH

State

Zip

03878

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/27/2006