LESLIE G BALT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116370

License Status

INACTIVE

Business

First Name

LESLIE G

Last Name

BALT

Business Name

LESLIE G BALT

Original Issue Date

12/15/1965

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

03/08/2012