BETH H BLAZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221752

License Status

NOT RENEWED

Business

First Name

BETH H

Last Name

BLAZEK

Business Name

BETH H BLAZEK

Original Issue Date

03/06/1984

Effective Date

03/06/1984

Expiration Date

05/31/1992

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006