KATHLEEN MARCIA BLAZEK - Registered Nurse License in Illinois | # 041174780

KATHLEEN MARCIA BLAZEK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174780

License Status

INACTIVE

Business

N

First Name

KATHLEEN MARCIA

Last Name

BLAZEK

Business Name

KATHLEEN MARCIA BLAZEK

Original Issue Date

10/12/1977

Effective Date

12/29/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2024