Chanelle E Blake Registered Nurse
9 Yates Avenue, Waterbury, CT 06710


Chanelle E Blake is licensed in the eLicensing system of Connecticut. The license credential ID is 888008. The license type is Registered Nurse. The license status is ACTIVE. The address is 9 Yates Avenue, Waterbury, CT 06710. The zip code is 06710.


Chanelle E Blake · 9 Yates Avenue, Waterbury, CT 06710

Credential ID 888008
Name CHANELLE E BLAKE
Type INDIVIDUAL
Address 9 Yates Avenue
WATERBURY, CT 06710
License Credential Registered Nurse
Full Credential Code 10.089740
Credential Type 10
Credential Number 89740
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/27/2009
Effective Date 07/01/2016
Expiration Date 06/30/2017
Record Refresh Date 07/01/201

Zip 06710 · Registered Nurse · Connecticut Business

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