The holder whose full name is BLACKMON, MELVON DARLENE,come from HAZEL CREST IL,hold the Registered Nurse license(NO.28137468A) which status is Expired.
| Name | BLACKMON, MELVON DARLENE |
|---|---|
| License Number | 28137468A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | HAZEL CREST |
| State | IL |