JEAN L BLASE - Registered Nurse License in Illinois | # 041093325

JEAN L BLASE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093325

License Status

NOT RENEWED

Business

N

First Name

JEAN L

Last Name

BLASE

Business Name

JEAN L BLASE

Original Issue Date

04/15/1959

Effective Date

04/15/1959

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006