JESSICA S BALTHAZOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383609

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

BALTHAZOR

Business Name

JESSICA S BALTHAZOR

Original Issue Date

04/29/2010

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012