JORGE MANUEL BALLESTEROS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012103

License Status

INACTIVE

Business

First Name

JORGE

Middle

MANUEL

Last Name

BALLESTEROS

Business Name

JORGE MANUEL BALLESTEROS

Original Issue Date

10/24/2014

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

ORLANDO

State

Zip

32806

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/01/2018