MARY D BALBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300920

License Status

NOT RENEWED

Business

First Name

MARY D

Last Name

BALBACH

Business Name

MARY D BALBACH

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

05/31/2004

City

INDIANAPOLIS

State

Zip

46237

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006