CHRISTINE M BLASE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345359

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

BLASE

Business Name

CHRISTINE M BLASE

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

DAYTON

State

Zip

45431

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006