MOZELLA J BALOUE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008795

License Status

NOT RENEWED

Business

First Name

MOZELLA J

Last Name

BALOUE

Business Name

MOZELLA J BALOUE

Original Issue Date

09/30/1959

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005