ALYSSA ROSE BALTUSEVICH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021389

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

ROSE

Last Name

BALTUSEVICH

Business Name

ALYSSA ROSE BALTUSEVICH

Original Issue Date

06/08/2020

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/09/2026