DIANA MARIE A BALBARIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

MARIE A

Last Name

BALBARIN

Business Name

DIANA MARIE A BALBARIN

Original Issue Date

01/14/2020

Effective Date

01/14/2020

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021