| 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) | |||||||||