DIANNE B BALDA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089770

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

BALDA

Business Name

DIANNE B BALDA

Original Issue Date

05/21/2004

Effective Date

12/09/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007