ELAINE MARCELLA BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041519067

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

MARCELLA

Last Name

BLAKE

Business Name

ELAINE MARCELLA BLAKE

Original Issue Date

12/08/2021

Effective Date

07/14/2022

Expiration Date

06/30/2024

City

FORT WASHINGTON

State

Zip

19034

Ever Disciplined

LastModifiedDate

02/05/2025