TANNA M BLAZER - Registered Nurse License in Illinois | # 041427066

TANNA M BLAZER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427066

License Status

NOT RENEWED

Business

N

First Name

TANNA

Middle

M

Last Name

BLAZER

Business Name

TANNA M BLAZER

Original Issue Date

01/15/2015

Effective Date

01/15/2015

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016