GARY B HAZEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041263546

License Status

INACTIVE

Business

First Name

GARY B

Last Name

HAZEN

Business Name

GARY B HAZEN

Original Issue Date

09/24/1991

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2010