EDITA D BALAGOT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192392

License Status

INACTIVE

Business

First Name

EDITA D

Last Name

BALAGOT

Business Name

EDITA D BALAGOT

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2008

City

QUEEN CREEK

State

Zip

85242

County

ARIZONA

Ever Disciplined

LastModifiedDate

03/11/2008