TANNA M BLAZER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427066

License Status

NOT RENEWED

Business

First Name

TANNA

Middle

Last Name

BLAZER

Business Name

TANNA M BLAZER

Original Issue Date

01/15/2015

Effective Date

01/15/2015

Expiration Date

05/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016