TONI M BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285941

License Status

NOT RENEWED

Business

First Name

TONI M

Last Name

BLAKE

Business Name

TONI M BLAKE

Original Issue Date

11/23/1994

Effective Date

03/31/2014

Expiration Date

05/31/2016

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016