ACELITA T BALTAZAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088667

License Status

INACTIVE

Business

First Name

ACELITA

Middle

Last Name

BALTAZAR

Business Name

ACELITA T BALTAZAR

Original Issue Date

08/06/2003

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005