SUZANNE M CARBALLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104314

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

CARBALLO

Business Name

SUZANNE M CARBALLO

Original Issue Date

11/09/1962

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016