THERESE MARIE BLAZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152338

License Status

NOT RENEWED

Business

First Name

THERESE MARIE

Last Name

BLAZEK

Business Name

THERESE MARIE BLAZEK

Original Issue Date

10/23/1973

Effective Date

10/23/1973

Expiration Date

05/31/1994

City

PALOS HILLS

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006