SR M ERNESTA BLAZONCZYK - Registered Nurse License in Illinois | # 043021440

SR M ERNESTA BLAZONCZYK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021440

License Status

NOT RENEWED

Business

N

First Name

SR M ERNESTA

Last Name

BLAZONCZYK

Business Name

SR M ERNESTA BLAZONCZYK

Original Issue Date

12/22/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005