FAYE H BLASZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265400

License Status

NOT RENEWED

Business

First Name

FAYE H

Last Name

BLASZAK

Business Name

FAYE H BLASZAK

Original Issue Date

09/25/1991

Effective Date

09/25/1991

Expiration Date

05/31/2000

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006