CHARLENE P BLAZEJAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041264355

License Status

NOT RENEWED

Business

First Name

CHARLENE P

Last Name

BLAZEJAK

Business Name

CHARLENE P BLAZEJAK

Original Issue Date

09/24/1991

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021