PATRICIA M BALTAZAR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025045

License Status

INACTIVE

Business

First Name

PATRICIA M

Last Name

BALTAZAR

Business Name

PATRICIA M BALTAZAR

Original Issue Date

04/02/2022

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

04/04/2024