ALFONSO ALLAN BALLEZA II Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104857

License Status

NOT RENEWED

Business

First Name

ALFONSO

Middle

ALLAN

Last Name

BALLEZA

Suffix

Business Name

ALFONSO ALLAN BALLEZA II

Original Issue Date

11/20/2007

Effective Date

01/04/2011

Expiration Date

01/31/2013

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013