MICHELLE L BLAZEK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012765

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BLAZEK

Business Name

MICHELLE L BLAZEK

Original Issue Date

04/23/2015

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026