JANIE M BALLOK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149903

License Status

NOT RENEWED

Business

First Name

JANIE M

Last Name

BALLOK

Business Name

JANIE M BALLOK

Original Issue Date

10/03/1973

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/14/2021