TAYLOR BALOG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041596391

License Status

ACTIVE

Business

First Name

TAYLOR

Last Name

BALOG

Business Name

TAYLOR BALOG

Original Issue Date

10/21/2025

Effective Date

10/21/2025

Expiration Date

05/31/2026

City

FORT WAYNE

State

Zip

46818

Ever Disciplined

LastModifiedDate

03/01/2026