DOLORES BERTHA GLAZE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137499

License Status

NOT RENEWED

Business

First Name

DOLORES BERTHA

Last Name

GLAZE

Business Name

DOLORES BERTHA GLAZE

Original Issue Date

10/15/1970

Effective Date

10/15/1970

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006