DONNA M BLAZENIAK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328736

License Status

ACTIVE

Business

First Name

DONNA

Middle

Last Name

BLAZENIAK

Business Name

DONNA M BLAZENIAK

Original Issue Date

03/11/2002

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

CRESTWOOD

State

Zip

60418

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2026