MARTHA L BLAZEK - Registered Nurse License in Kentucky | # 041155254

MARTHA L BLAZEK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155254

License Status

NOT RENEWED

Business

N

First Name

MARTHA L

Last Name

BLAZEK

Business Name

MARTHA L BLAZEK

Original Issue Date

09/11/1974

Effective Date

09/11/1974

State

KY

Ever Disciplined

N

LastModifiedDate

09/27/2006