RAIZA P BALLENA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117750

License Status

NOT RENEWED

Business

First Name

RAIZA

Middle

Last Name

BALLENA

Business Name

RAIZA P BALLENA

Original Issue Date

09/30/2013

Effective Date

12/04/2014

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017