PHYLLIS JO BALOUN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054414

License Status

NOT RENEWED

Business

First Name

PHYLLIS JO

Last Name

BALOUN

Business Name

PHYLLIS JO BALOUN

Original Issue Date

07/27/1982

Expiration Date

01/31/1989

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005