SALLY A BALKCOM - Registered Nurse License in Illinois | # 041095252

SALLY A BALKCOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095252

License Status

INACTIVE

Business

N

First Name

SALLY A

Last Name

BALKCOM

Business Name

SALLY A BALKCOM

Original Issue Date

11/30/1959

Effective Date

03/23/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012