CAMILLE A BALAGNA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117231

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

Last Name

BALAGNA

Business Name

CAMILLE A BALAGNA

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

01/31/2015

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

03/09/2015