SUSAN W BLAHA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077265

License Status

NOT RENEWED

Business

First Name

SUSAN W

Last Name

BLAHA

Business Name

SUSAN W BLAHA

Original Issue Date

03/17/1995

Expiration Date

01/31/1997

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005