BENJAMIN J BALOUSEK - Registered Nurse License in Illinois | # 041430664

BENJAMIN J BALOUSEK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041430664

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

J

Last Name

BALOUSEK

Business Name

BENJAMIN J BALOUSEK

Original Issue Date

06/18/2015

Effective Date

04/15/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018