SANDRA L BALCITIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029121

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

BALCITIS

Business Name

SANDRA L BALCITIS

Original Issue Date

11/01/1971

Effective Date

01/10/2011

Expiration Date

01/31/2013

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

03/20/2013