HAZEL L DEBLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019233

License Status

NOT RENEWED

Business

First Name

HAZEL L

Last Name

DEBLAKE

Business Name

HAZEL L DEBLAKE

Original Issue Date

06/06/1967

Expiration Date

01/31/1985

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005