License holder summary

KELLEY E BLAKE is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for KELLEY E BLAKE is Lewisburg PA 17837. This licensed professional license is not current. The license was granted 11/07/2008 and expired on 04/30/2016.

Pennsylvania

Department of State

KELLEY E BLAKE
Certified Registered Nurse Practitioner
License number
SP010039
Date granted
11/07/2008
Date expires
04/30/2016
Class
Certified Registered Nurse Practitioner
Status
Expired
Address
Lewisburg PA 17837
palicensing.org
ID 37701780
LAST UPDATED 2024-04-24 05:48:13 UTC

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