Phyllis B Blake
InactiveIllinois license 041051020
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041051020
- Status
- Inactive
- First issued
- March 15, 1945
- Expired
- May 31, 1996
- License holder
- Phyllis B Blake
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/15/1945
Contact
Belvidere, IL 61008
Boone County