Charla J Hazen
InactiveIllinois license 041207570
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041207570
- Status
- Inactive
- First issued
- October 7, 1981
- Expired
- May 31, 2014
- License holder
- Charla J Hazen
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/21/2012
Contact
Wood River, IL 62095
Madison County