LEE E BLAHAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062389

License Status

NOT RENEWED

Business

First Name

LEE E

Last Name

BLAHAK

Business Name

LEE E BLAHAK

Original Issue Date

01/16/1986

Expiration Date

01/31/1995

City

QUEEN CREEK

State

Zip

85242

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/21/2005