The holder whose full name is BLAKE, ETHEL JANE,come from Louisville KY,hold the Registered Nurse license(NO.28120421A) which status is Expired.
| Name | BLAKE, ETHEL JANE |
|---|---|
| License Number | 28120421A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Louisville |
| State | KY |