VALERIE BLAZE - Registered Nurse License in Arizona | # 043046992

VALERIE BLAZE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046992

License Status

INACTIVE

Business

N

First Name

VALERIE

Last Name

BLAZE

Business Name

VALERIE BLAZE

Original Issue Date

07/13/1979

Effective Date

12/01/2004

Expiration Date

01/31/2007

State

AZ

Ever Disciplined

N

LastModifiedDate

11/03/2006