JILLIAN R BALAZS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041369620

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

BALAZS

Business Name

JILLIAN R BALAZS

Original Issue Date

07/22/2008

Effective Date

03/29/2012

Expiration Date

05/31/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014