LARA ELAINE BALAY IDPR Registered License verification

Business Entity

CANCELLED

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000056

License Status

CANCELLED

Business

First Name

LARA

Middle

ELAINE

Last Name

BALAY

Business Name

LARA ELAINE BALAY

Original Issue Date

06/05/2014

Effective Date

06/05/2014

Expiration Date

06/05/2016

City

CHICAGO

State

Zip

60618

Ever Disciplined

LastModifiedDate

06/05/2014