JOHN E BALOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341359

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

BALOG

Business Name

JOHN E BALOG

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

05/31/2006

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006