LESLIE A BLANK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213791

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

BLANK

Business Name

LESLIE A BLANK

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1988

City

SCARSDALE

State

Zip

10583

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006