PHYLLIS L BALK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071336

License Status

INACTIVE

Business

First Name

PHYLLIS L

Last Name

BALK

Business Name

PHYLLIS L BALK

Original Issue Date

01/23/1952

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/05/2010