AMANDA ELLEN BLAWAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041477892

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ELLEN

Last Name

BLAWAT

Business Name

AMANDA ELLEN BLAWAT

Original Issue Date

04/05/2019

Effective Date

04/05/2019

Expiration Date

09/30/2020

City

PULASKI

State

Zip

54162

Ever Disciplined

LastModifiedDate

01/14/2021