PHYLLIS JO BALOUN - Registered Nurse License in Illinois | # 041241114

PHYLLIS JO BALOUN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241114

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS JO

Last Name

BALOUN

Business Name

PHYLLIS JO BALOUN

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006