GRACE JEAN TAZELAAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137365

License Status

INACTIVE

Business

First Name

GRACE JEAN

Last Name

TAZELAAR

Business Name

GRACE JEAN TAZELAAR

Original Issue Date

10/06/1970

Effective Date

03/21/2014

Expiration Date

05/31/2016

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2016