NICOLETTE MARIE BALASA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142077

License Status

NOT RENEWED

Business

First Name

NICOLETTE MARIE

Last Name

BALASA

Business Name

NICOLETTE MARIE BALASA

Original Issue Date

11/23/1971

Effective Date

04/13/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018