JENNIFER L BALSAMELLO Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

INOPERATIVE

Business

First Name

JENNIFER

Middle

Last Name

BALSAMELLO

Business Name

JENNIFER L BALSAMELLO

Original Issue Date

01/10/2023

Effective Date

01/10/2023

Expiration Date

05/31/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/03/2024