STACY L BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271323

License Status

NOT RENEWED

Business

First Name

STACY L

Last Name

BLAKE

Business Name

STACY L BLAKE

Original Issue Date

10/13/1992

Effective Date

10/13/1992

Expiration Date

05/31/1996

City

GROVE CITY

State

Zip

43123

Ever Disciplined

LastModifiedDate

09/27/2006