HAZEL L DEBLAKE - Registered Nurse License in Illinois | # 043019233

HAZEL L DEBLAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019233

License Status

NOT RENEWED

Business

N

First Name

HAZEL L

Last Name

DEBLAKE

Business Name

HAZEL L DEBLAKE

Original Issue Date

06/06/1967

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005