License holder summary

Blake, Jacquelyn Nikol is a Licensed Practical Nurse licensed to practice in Missouri. This licensed professional license is current. The license was granted 05/16/1997 and expired on 05/31/2014.

Missouri

Division of Professional Registration

Blake, Jacquelyn Nikol
Licensed Practical Nurse
License number
055560  
Date granted
05/16/1997
Date expires
05/31/2014
Class
Licensed Practical Nurse
Status
Clear
licensingmissouri.org
ID 2279168
LAST UPDATED 2026-04-27 11:37:54 UTC

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