LISA K BLASTICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324696

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BLASTICK

Business Name

LISA K BLASTICK

Original Issue Date

06/07/2001

Effective Date

06/07/2001

Expiration Date

05/31/2002

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006