BERNICE E BAZELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305502

License Status

NOT RENEWED

Business

First Name

BERNICE

Middle

Last Name

BAZELY

Business Name

BERNICE E BAZELY

Original Issue Date

08/28/1997

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

WEST MIDDLESEX

State

Zip

16159

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/14/2022