SALLY A BALKCOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095252

License Status

INACTIVE

Business

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

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/08/2012