GREGORY T BLAZER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334399

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

BLAZER

Business Name

GREGORY T BLAZER

Original Issue Date

03/14/2003

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2018