LAREESE A BALLMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102420

License Status

NOT RENEWED

Business

First Name

LAREESE

Middle

Last Name

BALLMER

Business Name

LAREESE A BALLMER

Original Issue Date

10/17/2006

Effective Date

11/04/2022

Expiration Date

02/28/2025

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/08/2025