PHYLLIS JO BALOUN - Registered Nurse License in Illinois | # 043054414

PHYLLIS JO BALOUN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054414

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS JO

Last Name

BALOUN

Business Name

PHYLLIS JO BALOUN

Original Issue Date

07/27/1982

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005