RACHAEL M BALTHAZORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INACTIVE

Business

First Name

RACHAEL

Middle

Last Name

BALTHAZORE

Business Name

RACHAEL M BALTHAZORE

Original Issue Date

07/26/2023

Effective Date

07/26/2023

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024