URSULA N BLAZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118502

License Status

NOT RENEWED

Business

First Name

URSULA

Middle

Last Name

BLAZEK

Business Name

URSULA N BLAZEK

Original Issue Date

03/03/2014

Effective Date

04/13/2017

Expiration Date

01/31/2019

City

ORLAND HILLS

State

Zip

60487

Ever Disciplined

LastModifiedDate

03/28/2019