CONCHITA C BALAGOT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148979

License Status

INACTIVE

Business

First Name

CONCHITA C

Last Name

BALAGOT

Business Name

CONCHITA C BALAGOT

Original Issue Date

05/14/1973

Effective Date

05/14/1973

City

N CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006