KATHLEEN MARCIA BLAZEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174780

License Status

INACTIVE

Business

First Name

KATHLEEN MARCIA

Last Name

BLAZEK

Business Name

KATHLEEN MARCIA BLAZEK

Original Issue Date

10/12/1977

Effective Date

12/29/2022

Expiration Date

06/30/2024

City

MILLEDGEVILLE

State

Zip

61051

County

CARROLL

Ever Disciplined

LastModifiedDate

05/20/2024