SR M ERNESTA BLAZONCZYK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021440

License Status

NOT RENEWED

Business

First Name

SR M ERNESTA

Last Name

BLAZONCZYK

Business Name

SR M ERNESTA BLAZONCZYK

Original Issue Date

12/22/1967

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005