AGNES A BLAZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009213

License Status

NOT RENEWED

Business

First Name

AGNES A

Last Name

BLAZEK

Business Name

AGNES A BLAZEK

Original Issue Date

07/22/1960

Expiration Date

01/31/1991

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005