AGNES A BLAZEK - Registered Nurse License in Illinois | # 043009213

AGNES A BLAZEK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009213

License Status

NOT RENEWED

Business

N

First Name

AGNES A

Last Name

BLAZEK

Business Name

AGNES A BLAZEK

Original Issue Date

07/22/1960

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005