KRISTOFFER BALLEZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041461701

License Status

NOT RENEWED

Business

First Name

KRISTOFFER

Last Name

BALLEZA

Business Name

KRISTOFFER BALLEZA

Original Issue Date

02/05/2018

Effective Date

07/13/2020

Expiration Date

08/31/2022

City

TINLEY PARK

State

Zip

60487

Ever Disciplined

LastModifiedDate

10/14/2022