ROSE ANN BALTHAZOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017113

License Status

NOT RENEWED

Business

First Name

ROSE ANN

Last Name

BALTHAZOR

Business Name

ROSE ANN BALTHAZOR

Original Issue Date

12/19/1966

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/17/2009