CHERYL L BLAZEVICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065649

License Status

INACTIVE

Business

First Name

CHERYL

Middle

Last Name

BLAZEVICH

Business Name

CHERYL L BLAZEVICH

Original Issue Date

01/20/1988

Effective Date

01/08/2003

Expiration Date

01/31/2003

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/15/2005