SUSIE P BALIKOV Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173546

License Status

INACTIVE

Business

First Name

SUSIE P

Last Name

BALIKOV

Business Name

SUSIE P BALIKOV

Original Issue Date

05/12/1977

Effective Date

05/20/2010

Expiration Date

05/31/2012

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2012