LORI PAIGE BALCHIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

LORI

Middle

PAIGE

Last Name

BALCHIK

Business Name

LORI PAIGE BALCHIK

Original Issue Date

06/29/2023

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026