FAYE H BLASZAK - Registered Nurse License in Indiana | # 041265400

FAYE H BLASZAK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265400

License Status

NOT RENEWED

Business

N

First Name

FAYE H

Last Name

BLASZAK

Business Name

FAYE H BLASZAK

Original Issue Date

09/25/1991

Effective Date

09/25/1991

Expiration Date

05/31/2000

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006