TERESA R BALDERRAMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089857

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

BALDERRAMA

Business Name

TERESA R BALDERRAMA

Original Issue Date

06/10/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005