License holder summary

Jack Colt Blaine is a Nursing - Nurse Practitioner Apn licensed to practice in Colorado. The address on file for Jack Colt Blaine is 1830 Terrace Pl, Delano, CA, 93215-1455. This licensed professional license is not current. The license was granted 11/01/2002 and expired on 09/18/2007.

Colorado

Division of Professions and Occupations

Jack Colt Blaine
Nursing - Nurse Practitioner Apn
License number
3890
Date granted
11/01/2002
Date expires
09/18/2007
Class
Nursing - Nurse Practitioner Apn
Status
Expired
Address
1830 Terrace Pl, Delano, CA, 93215-1455
coloradolicensing.org
ID 27461588
LAST UPDATED 2024-02-09 03:46:34 UTC

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