MELISSA K BALMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089812

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

BALMA

Business Name

MELISSA K BALMA

Original Issue Date

05/25/2004

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

10/21/2005