BENJAMIN J BALOUSEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041430664

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BALOUSEK

Business Name

BENJAMIN J BALOUSEK

Original Issue Date

06/18/2015

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2018