DOROTHY G BLAZEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114998

License Status

INACTIVE

Business

First Name

DOROTHY G

Last Name

BLAZEK

Business Name

DOROTHY G BLAZEK

Original Issue Date

10/04/1965

Effective Date

10/04/1965

Expiration Date

05/31/2000

City

PUEBLO

State

Zip

81005

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2006