CAROLYN ANN BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104914

License Status

INACTIVE

Business

First Name

CAROLYN ANN

Last Name

BLAKE

Business Name

CAROLYN ANN BLAKE

Original Issue Date

12/18/1962

Effective Date

12/18/1962

City

EUGENE

State

Zip

97401

County

OREGON

Ever Disciplined

LastModifiedDate

09/27/2006