MARILYN D BALCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

MARILYN D

Last Name

BALCH

Business Name

MARILYN D BALCH

Original Issue Date

02/08/2008

Effective Date

04/02/2020

Expiration Date

08/31/2022

City

ROCHELLE

State

Zip

61068

County

LEE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/10/2022