LISA L BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299064

License Status

INACTIVE

Business

First Name

LISA L

Last Name

BLAKE

Business Name

LISA L BLAKE

Original Issue Date

08/20/1996

Effective Date

07/31/2008

Expiration Date

05/31/2010

City

BEAUFORT

State

Zip

29902

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

03/05/2010