JEAN L BLASE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093325

License Status

NOT RENEWED

Business

First Name

JEAN L

Last Name

BLASE

Business Name

JEAN L BLASE

Original Issue Date

04/15/1959

Effective Date

04/15/1959

Expiration Date

05/31/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006