VALERIE BLAZE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046992

License Status

INACTIVE

Business

First Name

VALERIE

Last Name

BLAZE

Business Name

VALERIE BLAZE

Original Issue Date

07/13/1979

Effective Date

12/01/2004

Expiration Date

01/31/2007

City

CASA GRANDE

State

Zip

85222

Ever Disciplined

LastModifiedDate

11/03/2006