License holder summary

Blake M. Randolph is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Blake M. Randolph is Indianapolis IN 46214. This nurse license is not current. The license was granted 04/03/2013 and expired on 07/03/2013.

Indiana

State Board of Nursing

Blake M. Randolph
Temporary Rn Permit
License number
99056521A
Date granted
04/03/2013
Date expires
07/03/2013
Class
Temporary Rn Permit
Status
Superceded
Address
Indianapolis IN 46214
nursingindiana.org
ID 8267841
LAST UPDATED 2024-02-09 05:11:05 UTC

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