CHARLOTTE J BLASE - Registered Nurse License in Illinois | # 041097062

CHARLOTTE J BLASE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041097062

License Status

NOT RENEWED

Business

N

First Name

CHARLOTTE J

Last Name

BLASE

Business Name

CHARLOTTE J BLASE

Original Issue Date

08/22/1960

Effective Date

08/22/1960

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008