Name | BLANCHE M MASON |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
PN.022472-MEDS | Licensed Practical Nurse - MEDS | 05/03/1965 | 05/29/1996 | 08/31/1998 | INACTIVE | (Unknown) |