ACELITA T BALTAZAR - Registered Nurse License in Illinois | # 043088667

ACELITA T BALTAZAR

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088667

License Status

INACTIVE

Business

N

First Name

ACELITA

Middle

T

Last Name

BALTAZAR

Business Name

ACELITA T BALTAZAR

Original Issue Date

08/06/2003

Effective Date

12/08/2004

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005