CONNIE LEE BLAZIER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139322

License Status

INACTIVE

Business

First Name

CONNIE LEE

Last Name

BLAZIER

Business Name

CONNIE LEE BLAZIER

Original Issue Date

06/17/1971

Effective Date

07/08/2010

Expiration Date

05/31/2012

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2012