License holder summary

JACQUELINE EILEEN BLAKE is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for JACQUELINE EILEEN BLAKE is Montoursville PA 17754. This licensed professional license is not current. The license was granted 08/21/2007 and expired on 08/31/2008.

Pennsylvania

Department of State

JACQUELINE EILEEN BLAKE
Graduate Practical Nurse Permit
License number
TGPN016995
Date granted
08/21/2007
Date expires
08/31/2008
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Montoursville PA 17754
palicensing.org
ID 37709412
LAST UPDATED 2024-05-26 10:54:12 UTC

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