ROBERTA S BLAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100863

License Status

INACTIVE

Business

First Name

ROBERTA S

Last Name

BLAKE

Business Name

ROBERTA S BLAKE

Original Issue Date

11/10/1961

Effective Date

11/10/1961

Expiration Date

05/31/1990

City

STAFFORD

State

Zip

22554

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/27/2006