MARY JANE BLAZEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126482

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

BLAZEK

Business Name

MARY JANE BLAZEK

Original Issue Date

08/23/1968

Effective Date

08/23/1968

Expiration Date

05/31/2006

City

IRONS

State

Zip

49644

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006