KELLI J BLAISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070987

License Status

NOT RENEWED

Business

First Name

KELLI J

Last Name

BLAISE

Business Name

KELLI J BLAISE

Original Issue Date

01/16/1992

Expiration Date

01/31/1995

City

JOINT BASE LEWIS MCCHORD

State

Zip

98433

Ever Disciplined

LastModifiedDate

10/21/2005