DONNA M BLAZENIAK - Registered Nurse License in Illinois | # 043042932

DONNA M BLAZENIAK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042932

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

M

Last Name

BLAZENIAK

Business Name

DONNA M BLAZENIAK

Original Issue Date

02/14/1978

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005