CAROL ANN BLAZER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040894

License Status

INACTIVE

Business

First Name

CAROL ANN

Last Name

BLAZER

Business Name

CAROL ANN BLAZER

Original Issue Date

02/02/1977

Effective Date

02/10/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012