MARTHA L BLAZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155254

License Status

NOT RENEWED

Business

First Name

MARTHA L

Last Name

BLAZEK

Business Name

MARTHA L BLAZEK

Original Issue Date

09/11/1974

Effective Date

09/11/1974

City

ASHLAND

State

Zip

41101

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/27/2006