CHARLA J HAZEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207570

License Status

INACTIVE

Business

First Name

CHARLA J

Last Name

HAZEN

Business Name

CHARLA J HAZEN

Original Issue Date

10/07/1981

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2014