License holder summary

SHANNON RENEE BLAKE is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for SHANNON RENEE BLAKE is 310 LEBANON ST, SANFORD, ME 04073-5420. This licensed professional license is current. The license was granted 09/16/2011 and expired on 02/07/2015.

Maine

Office of Professional and Occupational Regulation

SHANNON RENEE BLAKE
Nursing - Licensed Practical Nurse
License number
LPN13118
Date granted
09/16/2011
Date expires
02/07/2015
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
310 LEBANON ST, SANFORD, ME 04073-5420
mainelicensing.org
ID 21205443
LAST UPDATED 2024-03-28 15:25:17 UTC

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