License holder summary

David Anthony Blazak is a Registered Nurse licensed to practice in Indiana. The address on file for David Anthony Blazak is Merrillville IN 46410. This nurse license is not current. The license was granted 09/12/1991 and expired on 10/31/2005.

Indiana

State Board of Nursing

David Anthony Blazak
Registered Nurse
License number
28113009A
Date granted
09/12/1991
Date expires
10/31/2005
Class
Registered Nurse
Status
Suspended
Address
Merrillville IN 46410
nursingindiana.org
ID 8073705
LAST UPDATED 2024-02-15 19:22:45 UTC

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