LISA M BALCERZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084721

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BALCERZAK

Business Name

LISA M BALCERZAK

Original Issue Date

03/04/2000

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

NEW LENOX

State

Zip

60451

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021