CAROL A BLASTICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109949

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

BLASTICK

Business Name

CAROL A BLASTICK

Original Issue Date

05/11/1964

Effective Date

05/11/1964

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006