CHARLOTTE J BLASE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041097062

License Status

NOT RENEWED

Business

First Name

CHARLOTTE J

Last Name

BLASE

Business Name

CHARLOTTE J BLASE

Original Issue Date

08/22/1960

Effective Date

08/22/1960

Expiration Date

05/31/2008

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008